Individual provider Active NPI

James Marczak, PA-C

  • Physician Assistant
  • Glendale, AZ
National Provider Identifier
1720123805
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1910 Issued in AZ
Practice address
18275 N 59TH Ave Ste 138
Glendale, AZ 85308-1253
Phone
(602) 843-2300
Fax
(602) 843-2310
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1910 AZ Primary

Addresses

Primary practice location

18275 N 59TH Ave Ste 138
Glendale, AZ 85308-1253

Mailing address

18275 N 59TH Ave Ste 138
Glendale, AZ 85308-1253
Phone (602) 564-0078

Other practice location 1

18275 N 59th Ave Ste 144
Glendale, AZ 85308-1253
Phone (602) 564-0078

Other practice location 2

1151 N Gilbert Rd
Mesa, AZ 85203-5127
Phone (480) 610-0688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070418000424 AZ Practitioner - Physician Assistant 9133224231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

18275 N 59TH Ave
Suite 138
Glendale, AZ 85308-1253
Phone (602) 564-0078

21321 E Ocotillo Rd
Suite 133
Queen Creek, AZ 85142-5995
Phone (480) 987-5525

3151 N Windsong Dr
Prescott Valley, AZ 86314-2240
Phone (928) 458-7583

8914 N 91St Ave
Suite 100
Peoria, AZ 85345-8390
Phone (623) 877-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sundance Medical Associates PLLC Past Accepting new patients
Honorhealth Medical Group, LLC Past Accepting new patients
Suzanne MP Bennett DO PC PastSince Nov 3, 2024 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1720123805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE STE 138",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081253",
            "telephone_number": "602-564-0078",
            "fax_number": "602-564-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE STE 138",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081253",
            "telephone_number": "602-843-2300",
            "fax_number": "602-843-2310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18275 N 59th Ave Ste 144",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081253",
            "country_code": "US",
            "telephone_number": "602-564-0078",
            "fax_number": "602-564-1154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1151 N Gilbert Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852035127",
            "country_code": "US",
            "telephone_number": "480-610-0688",
            "fax_number": "480-969-6132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCZAK",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "1910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.