Active NPI
Marvin M Chassin, MD
- Medical Oncology Physician
- Mesa, AZ
National Provider Identifier
1669445441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 10566
- Practice address
- 1432 S Dobson Rd
106
Mesa, AZ 85202-4769 - Phone
- (480) 969-3637
- Fax
- (480) 969-6568
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 10566 | AZ | Primary |
Addresses
Primary practice location
1432 S Dobson Rd
106
Mesa, AZ 85202-4769
Mailing address
PO Box 6423
Chandler, AZ 85246-6423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214255 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10566 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388448000000",
"number": "1669445441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6423",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852466423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 S DOBSON RD",
"address_2": "106",
"city": "MESA",
"state": "AZ",
"postal_code": "852024769",
"telephone_number": "480-969-3637",
"fax_number": "480-969-6568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASSIN",
"first_name": "MARVIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2013-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "AZ",
"license": "10566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "214255",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.