Marc E Gottlieb MD PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

20039 Issued in AZ

Legal business name

MARC E GOTTLIEB MD PC

Practice address

1012 E Willetta St
Phoenix, AZ 85006-2749

Phone

(602) 239-6040

Fax

(602) 252-2367

NPI assigned

Nov 9, 2009

Organization subpart

No

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

Authorized official

Name

Marc E Gottlieb, MD

Title

Physician Owner

Phone

(602) 252-3354

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Glenn Silverstein, D.P.M.

  • Podiatrist
  • Scottsdale, AZ
  • NPI 1629066089
  NPD (past)

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1376870501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86040",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850806040",
            "telephone_number": "602-252-3354",
            "fax_number": "602-252-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062749",
            "telephone_number": "602-239-6040",
            "fax_number": "602-252-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC E GOTTLIEB MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "602-252-3354",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "20039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053025",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Community Resources, Inc.
• Marc Community Resources, Inc.
• Marc Community Resources, Inc.
• Marc Community Resources, Inc.
• Marc Community Resources, Inc.
• Susan Marcanio, NP
• Marcann Mental Health Services, PLLC
• Nancy A Marcella, CRNA
• Kelly L Marcello, FNP
• Ruth Yamile Marcellus

• Plastic and Reconstructive Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Plastic and Reconstructive Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.