Thomas Joseph Marcisz, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G60509 Issued in CA

Practice address

624 East Grand Avenue
Escondido, CA 92025

Phone

(760) 739-8314

Fax

(760) 739-8841

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1255445854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28683 MOUNTAIN LILAC RD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920266203",
            "telephone_number": "760-739-8314",
            "fax_number": "760-739-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 EAST GRAND AVENUE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "92025",
            "telephone_number": "760-739-8314",
            "fax_number": "760-739-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCISZ",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G60509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G605090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarai Marcelin, MA
• Erika Belinda Marcelino Ramos
• Beverly Marie Marchetti, RN
• Nubia Marchi
• Katie Marchiafava, MSW
• Jacob David Marcus, EMT-1
• Lawrence Robert Marengeau
• Michelle Marge
• Jasmine Maria
• Amy Marie Marin

• Neurological Surgery Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.