Individual provider Active NPI

Paul W Marshburn, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Phoenix, AZ
National Provider Identifier
1316939101
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
26784 Issued in AZ
Practice address
1616 E Maryland Ave
Phoenix, AZ 85016-1302
Phone
(602) 788-1521
Fax
(602) 688-5420
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 26784 AZ
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 26784 AZ Primary

Addresses

Primary practice location

1616 E Maryland Ave
Phoenix, AZ 85016-1302

Mailing address

1616 E Maryland Ave
Phoenix, AZ 85016-1302
Phone (602) 788-1521

Other identifiers 3

IdentifierTypeStateIssuer
AZ0862820OtherAZBLUE CROSS BLUE SHIELD
2032538OtherAZAETNA
432922MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100107000032 AZ Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 9537244439 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tulane University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Urogynecology Associates LTDGroup PAC ID 6305821604, 4 clinicians

Practice addresses (Care Compare)

1616 E Maryland Ave
Phoenix, AZ 85016-1302
Phone (602) 788-1521

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Removal of the uterus20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26784AZMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District CurrentSince Jan 1, 2015 Accepting new patients
Maricopa County Special Health Care District Current Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
Valley Urogynecology Associates LTD Urogynecology and Reconstructive Pelvic Surgery CurrentSince Aug 1, 2002 Accepting new patients
Maricopa County Special Health Care District CurrentSince Jan 1, 2015 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients

Locations

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1616 E Maryland Ave
Phoenix, AZ 85016
Phone (602) 241-1944

2525 E Roosevelt St
Fl 2
Phoenix, AZ 85008

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

2601 E Roosevelt St
Fl 2
Phoenix, AZ 85008

1201 S 7th Ave
Phoenix, AZ 85007
Phone (602) 258-5111

3410 N 4th Ave
Phoenix, AZ 85013
Phone (602) 241-1944

Interoperability endpoints

  • Direct secure messaging: paul.marshburn.1@2540.direct.athenahealth.com
  • Direct secure messaging: pmarshburn5190@direct.valleywisehealth.org
  • FHIR API: https://api.platform.athenahealth.com/2540/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1316939101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E MARYLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850161302",
            "telephone_number": "602-788-1521",
            "fax_number": "602-688-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E MARYLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850161302",
            "telephone_number": "602-788-1521",
            "fax_number": "602-688-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHBURN",
        "first_name": "PAUL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "26784",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "AZ",
            "license": "26784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0862820",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2032538",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432922",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.