GHGB-I PLLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

GHGB-I PLLC

Doing business as

Copper State Vascular

Practice address

535 E McKellips Rd Ste 111
Mesa, AZ 85203-2525

Phone

(480) 510-3079

NPI assigned

Jun 8, 2023

Last updated

Jun 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marc L Eckhauser, MD

Title

Vascular Surgeon

Phone

(480) 510-3079

Specialties & licenses 1

Addresses

Other names 1

• Copper State Vascular Doing business as

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1639863863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E MCKELLIPS RD STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032525",
            "telephone_number": "480-510-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E MCKELLIPS RD STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032525",
            "telephone_number": "480-510-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHGB-I PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "ECKHAUSER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VASCULAR SURGEON",
        "authorized_official_telephone_number": "480-510-3079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper State Vascular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriella Renee Geyer
• Raha Ghadamzan, DO
• Fariborz Ghafoori, PHARMD
• Ali Ghafouri, M.D.
• Kojasteh Mahsa Ghaziaskar, MD
• Deslie Annette Ghiorzi I
• Natasha Ghofrani
• Ria Ghose Kundu, M.D.
• Laurie Giacoletto, PA-C
• Andrew Carl Arland Gibbons III, M.S.

• Vascular & Interventional Radiology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Vascular & Interventional Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.