Active NPI
Theodore Mark Cwynar, M.D.
- Internal Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1750308581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10871
- Practice address
- 7555 E Osborn Rd
Ste 201
Scottsdale, AZ 85251-6442 - Phone
- (480) 949-7080
- Fax
- (480) 675-9145
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10871 | AZ | Primary |
Addresses
Primary practice location
7555 E Osborn Rd
Ste 201
Scottsdale, AZ 85251-6442
Mailing address
PO Box 98978
Las Vegas, NV 89193-8978
Phone (702) 216-3346
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0349130 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 251059-01 | Medicaid | AZ |
Other names 1
- T. Mark Cwynar
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 |
|---|---|---|---|
| 10871 | AZ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1750308581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98978",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891938978",
"telephone_number": "702-216-3346",
"fax_number": "702-671-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7555 E OSBORN RD",
"address_2": "STE 201",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516442",
"telephone_number": "480-949-7080",
"fax_number": "480-675-9145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CWYNAR",
"first_name": "THEODORE",
"middle_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "10871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0349130",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251059-01",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "T.",
"last_name": "CWYNAR",
"middle_name": "MARK",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.