Active NPI
Paul W Marshburn, MD
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 26784
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0862820 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 2032538 | Other | AZ | AETNA |
| 432922 | Medicaid | AZ |
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
Enrollment records 1
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
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
- Banner - University Medical Center Phoenix
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Removal of the uterus | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26784 | AZ | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maricopa County Special Health Care District | Current | 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 | Current | Accepting new patients | |
| Valley Urogynecology Associates LTD | Urogynecology and Reconstructive Pelvic Surgery | Current | Accepting new patients |
| Maricopa County Special Health Care District | Current | 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
- paul.marshburn.1@2540.direct.athenahealth.com
- pmarshburn5190@direct.valleywisehealth.org
- 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.
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Phoenix, AZ
- NPI 1386839819
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1073576740
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1518290626
-
- Adult Mental Health Clinic/Center
- Avondale, AZ
- NPI 1043679327
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1306265145
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1295154045
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1992131734
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.