RAYMOND TAETLE M.D. NPI 1326002411

NPI Information

NPI: 1326002411
Provider Name: RAYMOND TAETLE, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Address:
603 N WILMOT RD
STE 151
TUCSON, AZ
ZIP 85711
Phone: (520) 886-0206
Get Directions

Raymond Taetle, M.D. is a hematology and oncology internal medicine in Tucson, AZ. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Raymond Taetle, M.D. NPI is 1326002411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

603 N WILMOT RD
STE 151
TUCSON, AZ
ZIP 85711-701
Phone: (520) 886-0206
Fax: (520) 886-0829

The enumeration date for this NPI number is 4/14/2006 and was last updated on 9/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	20032	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A43586	MEDICARE UPIN	ARIZONA
2	86-0938204	OTHER	ARIZONA	TIN
3	011552	MEDICAID	ARIZONA
4	Z25309	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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