Organization Active NPI

Marwan Ghazoul MD PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Paradise Valley, AZ
National Provider Identifier
1154773463
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
18744 Issued in AZ
Legal business name
MARWAN GHAZOUL MD PC
Practice address
4240 E Marlette Ave
Paradise Valley, AZ 85253-3960
Phone
(602) 708-9276
NPI assigned
Jul 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Marwan Ghazoul, MDNPI 1558362491
Title
Owner
Phone
(602) 708-9276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 18744 AZ Primary

Addresses

Primary practice location

4240 E Marlette Ave
Paradise Valley, AZ 85253-3960

Mailing address

4240 E Marlette Ave
Paradise Valley, AZ 85253-3960
Phone (602) 708-9276

Other identifiers 1

IdentifierTypeStateIssuer
1558362491OtherAZINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1154773463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 E MARLETTE AVE",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852533960",
            "telephone_number": "602-708-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 E MARLETTE AVE",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852533960",
            "telephone_number": "602-708-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARWAN GHAZOUL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "GHAZOUL",
        "authorized_official_first_name": "MARWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-708-9276",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "18744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1558362491",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.