Healthcare Provider Details
I. General information
NPI: 1972920338
Provider Name (Legal Business Name): EMILY DIANE RAPSTINE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/24/2014
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6750 E BAYWOOD AVE STE 507
MESA AZ
85206-1749
US
IV. Provider business mailing address
6750 E BAYWOOD AVE STE 507
MESA AZ
85206-1749
US
V. Phone/Fax
- Phone: 480-684-6487
- Fax: 480-386-6646
- Phone: 480-684-6487
- Fax: 480-386-6646
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 65193 |
| License Number State | MN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208G00000X |
| Taxonomy | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | 77235 |
| License Number State | AZ |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208G00000X |
| Taxonomy | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | 66286 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: