Ralph a. Lemcke, MD, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

7116 Issued in AZ

Legal business name

RALPH A. LEMCKE, MD, PC

Practice address

6542 E Carondelet Dr
Tucson, AZ 85710-2117

Phone

(520) 296-6204

Fax

(520) 296-3463

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Ralph A Lemcke, MDNPI 1912007683

Title

President

Phone

(520) 296-6204

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ralph A Lemcke, MD

  • Dermatology Physician
  • Tucson, AZ
  • NPI 1912007683
  Medicare reassignment NPD Authorized official
• David N Flieger, MD

  • Dermatology Physician
  • Tucson, AZ
  • NPI 1134229818
  NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1851445332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6542 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102117",
            "telephone_number": "520-296-6204",
            "fax_number": "520-296-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102117",
            "telephone_number": "520-296-6204",
            "fax_number": "520-296-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH A. LEMCKE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "LEMCKE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-296-6204",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "7116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530718",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0399330",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raley'S Arizona LLC
• Raley'S Arizona LLC
• Raley'S Arizona LLC
• Raley'S Arizona LLC
• Kevin T Ralls, NP-C
• Aspen I Ralph, DO
• Leslie Elizabeth Romero Ralph, PH.D.
• Jon Robert Ralston, LAC
• Nicole L Ralston, AGNP-C
• Christopher Amee Ram, D.C.

• Dermatology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.