Active NPI
Thomas J Marcisz MD a Med Corp
- Neurological Surgery Physician
- Escondido, CA
National Provider Identifier
1578864658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- G60509
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas J Marcisz, MD
- Title
- Owner
- Phone
- (760) 739-8314
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 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 DirectoryLocations
624 E Grand Ave
Escondido, CA 92025
Phone (760) 739-8314
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Spicewood, TX
- NPI 1073519278
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.