NPIMap

Organization Active NPI

Thomas J Marcisz MD a Med Corp

  • Neurological Surgery Physician
  • Escondido, CA
National Provider Identifier
1578864658
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G60509 Issued in CA
Legal business name
THOMAS J MARCISZ MD A MED CORP
Practice address
624 E Grand Ave
Escondido, CA 92025-4403
Phone
(760) 739-8314
Fax
(760) 745-4633
NPI assigned
Nov 5, 2010
Last updated
May 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Thomas J Marcisz, MDNPI 1255445854
Title
Owner
Phone
(760) 739-8314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X G60509 CA Primary

Addresses

Primary practice location

624 E Grand Ave
Escondido, CA 92025-4403

Mailing address

624 E Grand Ave
Escondido, CA 92025-4403
Phone (760) 739-8314

National Provider Directory

National Provider Directory

Locations

624 E Grand Ave
Escondido, CA 92025
Phone (760) 739-8314

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1578864658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254403",
            "telephone_number": "760-739-8314",
            "fax_number": "760-745-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254403",
            "telephone_number": "760-739-8314",
            "fax_number": "760-745-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J MARCISZ MD A MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "MARCISZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-739-8314",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G60509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.