NPIMap

Organization Active NPI

Marc a Kaplan PLLC

  • Family Medicine Physician
  • Sierra Vista, AZ
National Provider Identifier
1699796631
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1872 Issued in AZ
Legal business name
MARC A KAPLAN PLLC
Practice address
2585 E Wilcox Dr Ste C
Sierra Vista, AZ 85635-2822
Phone
(520) 459-0000
Fax
(520) 459-5141
NPI assigned
Jul 23, 2006
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Brenda Simmons
Title
Office Manager
Phone
(520) 459-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1872 AZ Primary

Addresses

Primary practice location

2585 E Wilcox Dr Ste C
Sierra Vista, AZ 85635-2822

Mailing address

2585 E Wilcox Dr Ste C
Sierra Vista, AZ 85635-2822
Phone (520) 459-0000

Other identifiers 3

IdentifierTypeStateIssuer
255465MedicaidAZ
AZ0779310OtherAZBCBSAZ
4114163OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420000456 AZ Part B Supplier - Clinic/Group Practice 0547208696 Receives reassigned benefits from 3 practitioners
Practice locations: Sierra Vista, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0895650Marc a Kaplan PLLC2585 East Wilcox Suite C, Sierra Vista, AZ 85635Provider-performed microscopySep 4, 2027

National Provider Directory

National Provider Directory

Locations

2585 E Wilcox Dr
Ste C
Sierra Vista, AZ 85635
Phone (520) 452-0144

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1699796631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 E WILCOX DR STE C",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352822",
            "telephone_number": "520-459-0000",
            "fax_number": "520-459-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 E WILCOX DR STE C",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352822",
            "telephone_number": "520-459-0000",
            "fax_number": "520-459-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC A KAPLAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-459-0000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255465",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0779310",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4114163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.