Marcia Castro-Gideon

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

48500 Issued in AZ

Practice address

13940 W Meeker Blvd Ste 101
Sun City West, AZ 85375-4495

Phone

(623) 377-9929

NPI assigned

Sep 16, 2015

Last updated

Apr 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Providence General Medicine, PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1164693974
  NPD (past)

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1710356183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13940 W MEEKER BLVD",
            "address_2": "STE 101",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754495",
            "telephone_number": "602-246-9090",
            "fax_number": "602-246-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13940 W MEEKER BLVD STE 101",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754495",
            "telephone_number": "623-377-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO-GIDEON",
        "first_name": "MARCIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "48500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capriole Therapeutic Services
• Cardiac Care Consultants
• Carl Joseph Carlson, MD
• John T Carpenter
• Cheresse Bolds Carson, PHARMD
• Tanya Castro, RBT
• Nancy Louise Catalan, PHARMD
• Center for Orthopedic Research and Education (The CORE Institute)
• Center for Orthopedic Research and Education Inc (The CORE Institute)
• Center for Orthopedic Research and Education LLC (The CORE Institute)

• Family Medicine Physician in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.