Individual provider Active NPI

Emmanuel Marseille, CSA, MD, PA

  • Physician Assistant
  • Tempe, AZ
National Provider Identifier
1851860316
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9583 Issued in AZ
Practice address
4700 S McClintock Dr Ste 140
Tempe, AZ 85282-7375
Phone
(480) 851-6309
Fax
(573) 240-9791
NPI assigned
Nov 14, 2018
Last updated
Jan 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9583 AZ Primary
Surgical Physician Assistant 363AS0400X 9583 AZ

Addresses

Primary practice location

4700 S McClintock Dr Ste 140
Tempe, AZ 85282-7375

Mailing address

14877 N 145TH Dr
Surprise, AZ 85379-4765
Phone (561) 900-6083

Other practice location 1

7140 E Rosewood St Ste 110
Tucson, AZ 85710-1320
Phone (480) 851-6309

Other practice location 2

6710 N 47th Ave Ste 8
Glendale, AZ 85301-4111
Phone (623) 872-3077

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
I20240502001372 AZ Practitioner - Physician Assistant 2062852452 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Masters Mobile Physicians, PCGroup PAC ID 4082013982, 3 clinicians

Practice addresses (Care Compare)

Tempe, AZ 85283
Phone (520) 479-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Community Health CurrentSince Jan 1, 2026 Accepting new patients
Link Medical Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

1555 Ramar Rd
Bullhead City, AZ 86442
Phone (702) 960-6930

6710 N 47th Ave
Ste 8
Glendale, AZ 85301
Phone (623) 842-3077

4700 S McClintock Dr
Ste 140
Tempe, AZ 85282
Phone (480) 590-0787

2502 N Dodge Blvd
Ste 130
Tucson, AZ 85716
Phone (480) 851-6309

7140 E Rosewood St
Ste 110
Tucson, AZ 85710
Phone (480) 210-3407

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1851860316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14877 N 145TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794765",
            "telephone_number": "561-900-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S MCCLINTOCK DR STE 140",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827375",
            "telephone_number": "480-851-6309",
            "fax_number": "573-240-9791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7140 E Rosewood St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857101320",
            "country_code": "US",
            "telephone_number": "480-851-6309",
            "fax_number": "573-240-9791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6710 N 47th Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853014111",
            "country_code": "US",
            "telephone_number": "623-872-3077",
            "fax_number": "480-919-1166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSEILLE",
        "first_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "CSA, MD, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-14",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9583",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "9583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.