Marvin B Padnick, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

30372 Issued in OK

Practice address

4475 S I 19 Frontage Rd Ste 255
Green Valley, AZ 85614-6365

Phone

(520) 393-4863

NPI assigned

Sep 2, 2005

Last updated

Feb 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24502/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Advanced Surgical Associates LLC

  • Surgery Physician
  • Green Valley, AZ
  • NPI 1730746843
  NPD (past)
• Phoenix Heart, PLLC

  • Cardiac Rehabilitation Registered Nurse
  • Glendale, AZ
  • NPI 1578396982
  NPD (past)
• Phoenix Heart, PLLC

  • Cardiovascular Disease Physician
  • Glendale, AZ
  • NPI 1679608095
  NPD (past)
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1760441141
  NPD (past)
• VHS of Arrowhead Inc

  dba Abrazo Arrowhead Campus

  • Cardiovascular Disease Physician
  • Glendale, AZ
  • NPI 1326231903
  NPD (past)
• VHS of Phoenix Inc

  dba Abrazo Central Campus

  • Cardiovascular Disease Physician
  • Phoenix, AZ
  • NPI 1659565927
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1235123365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 S I 19 FRONTAGE RD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145884",
            "telephone_number": "520-393-4863",
            "fax_number": "833-485-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 S I 19 FRONTAGE RD STE 255",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856146365",
            "telephone_number": "520-393-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADNICK",
        "first_name": "MARVIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "30372",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "10419",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "30372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Olvera, FNP
• Andrew Orton, M.D.
• Aimee M Ostrom, MPT
• Ashley Packard, PMHNP-BC
• Michael Padilla, FNP-C
• Cecilia Denisse Palomera Correa
• David Lee Parke, D.C.
• Rene' Parke, L.AC. , NCCAOM
• Mary S Parker, MD
• Pasadera Behavioral Health Network, Inc. (Pasadera Green Valley Site)

• Interventional Cardiology Physician in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Interventional Cardiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.