Tich-Hao Mach, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16640 Issued in AZ

Practice address

6114 N 59TH Ave Ste 4
Glendale, AZ 85301-7769

Phone

(623) 937-8643

NPI assigned

Nov 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1013990563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 N 59TH AVE STE 4",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017769",
            "telephone_number": "623-937-8643",
            "fax_number": "623-934-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6114 N 59TH AVE STE 4",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017769",
            "telephone_number": "623-937-8643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7725 N 43rd Ave",
            "address_2": "Suite 622",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850515770",
            "country_code": "US",
            "telephone_number": "623-915-2476",
            "fax_number": "623-915-2583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACH",
        "first_name": "TICH-HAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "16640",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "16640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267717",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy L Macalpine, LISAC
• Adriana Jesse Macdonald
• Joshua Luke Macdonald, MSOTR/L
• Colleen Yvonne Mace
• Brian A Mach, OD
• Alyssa Macias
• Bernice Ann Macias, MA, LPC, LISAC
• Neely Nicole Mack
• Thomas Michael Mack, DDS
• Brittany Mackay, BS

• General Practice Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.