Mary Jane Risch, MD
Student in an Organized Health Care Education/Training Program in Phoenix, AZ. Individual provider (NPI-1).
NPI number1124886429
StatusActive
Last updated in NPPESApr 18, 2025
Details
- NPI
- 1124886429
- Entity type
- Individual (NPI-1)
- Name
- Mary Jane Risch
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 11, 2024
- Certification date
- Apr 18, 2025
- Last updated
- Apr 18, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - ANESTHESIOLOGY
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3100 N Central AvePhoenix, AZ 85012-2637
Phone 602-812-4312
Mailing address
1740 W Taylor St Ste 3200wChicago, IL 60612-7232
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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