Active NPI
Marc Leib
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1619323680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 15508
- Practice address
- 1701 E Colter St Unit 279
Phoenix, AZ 85016-3379 - Phone
- (602) 708-8455
- NPI assigned
- May 10, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 15508 | AZ | Primary |
Addresses
Primary practice location
1701 E Colter St Unit 279
Phoenix, AZ 85016-3379
Mailing address
PO Box 44527
Phoenix, AZ 85064-4527
Phone (602) 708-8455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15508 | AZ | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1619323680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44527",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850644527",
"telephone_number": "602-708-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 E COLTER ST UNIT 279",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850163379",
"telephone_number": "602-708-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIB",
"first_name": "MARC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-10",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "15508",
"primary": true
}
],
"identifiers": [],
"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 May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.