Individual provider Active NPI

Martha L Eicher, MD

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1669577854
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24039 Issued in AZ
Practice address
265 W Ina Rd
Tucson, AZ 85704-6204
Phone
(520) 694-8100
Fax
(520) 694-8191
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 24039 AZ Primary

Addresses

Primary practice location

265 W Ina Rd
Tucson, AZ 85704-6204

Mailing address

655 E River Rd
Tucson, AZ 85704-5840
Phone (520) 694-2700

Other identifiers 1

IdentifierTypeStateIssuer
345539MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000485 AZ Practitioner - Pediatric Medicine 3870618317 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24039AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physicians PC Pediatrics Current Accepting new patients
Arizona Community Physician PC CurrentSince Jan 1, 2018 Accepting new patients

Locations

1925 W Orange Grove Rd
Ste 207
Tucson, AZ 85704
Phone (520) 297-3372

7600 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 751-3675

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669577854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045840",
            "telephone_number": "520-694-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046204",
            "telephone_number": "520-694-8100",
            "fax_number": "520-694-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHER",
        "first_name": "MARTHA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "24039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345539",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.