Active NPI
Fraser Richards, M.D.
- Interventional Cardiology Physician
- Tucson, AZ
National Provider Identifier
1912902800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 37745
- Practice address
- 6567 E Carondelet Dr
Ste 225
Tucson, AZ 85710-6152 - Phone
- (520) 886-3432
- Fax
- (520) 886-0169
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 37745 | AZ | |
| Interventional Cardiology Physician | 207RI0011X | 37745 | AZ | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 37745 | AZ |
Addresses
Primary practice location
6567 E Carondelet Dr
Ste 225
Tucson, AZ 85710-6152
Mailing address
2202 N Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 886-3432
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00958349 | Other | AZ | RR MEDICARE |
| 286043 | Medicaid | AZ | |
| 37745 | Other | AZ | STATE LICENSE |
| N8395 | Other | AR | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37745 | AZ | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Diagnostic Pathology Associates PLLC | Past | Accepting new patients | |
| Baptist Memorial Hospital-Jonesboro Inc | Past | Accepting new patients | |
| Dr. Gann'S Diet of Hope LLC | Specialist | Past | Accepting new patients |
| Northeast Arkansas Health System LLC | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Tucson, AZ
- NPI 1326222696
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
-
- Cardiovascular Specialist/Technologist
- Jonesboro, AR
- NPI 1750322087
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1912902800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 N FORBES BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857451412",
"telephone_number": "520-886-3432",
"fax_number": "520-886-0169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6567 E CARONDELET DR",
"address_2": "STE 225",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857106152",
"telephone_number": "520-886-3432",
"fax_number": "520-886-0169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "FRASER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "37745",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AZ",
"license": "37745",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "37745",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00958349",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286043",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "37745",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "N8395",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.