Individual provider Active NPI

Marichu Sy, MD

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1912977653
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26321 Issued in AZ
Practice address
5891 W. Eugie Avenue
Glendale, AZ 85304
Phone
(602) 588-6600
Fax
(602) 588-6636
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26321 AZ Primary

Addresses

Primary practice location

5891 W. Eugie Avenue
Glendale, AZ 85304

Mailing address

25500 N. Norterra Parkway
BLDG. B
Phoenix, AZ 85085
Phone (602) 588-6600

Other identifiers 1

IdentifierTypeStateIssuer
425365MedicaidAZ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050314000293 AZ Practitioner - Family Practice 1456306406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26321AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Arizona, Inc. Current Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Dec 18, 2013 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Dec 18, 2013 Accepting new patients

Locations

5891 W Eugie Ave
Fl 2
Glendale, AZ 85304

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

21731 N 77th Ave
Ste 1300
Peoria, AZ 85382
Phone (623) 561-3300

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

7600 N 15th St
Ste 185
Phoenix, AZ 85020
Phone (602) 678-3131

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400

13041 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 977-7201

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

Organizations & group practices 5

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1912977653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 N. NORTERRA PARKWAY",
            "address_2": "BLDG. B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85085",
            "telephone_number": "602-588-6600",
            "fax_number": "602-588-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5891 W. EUGIE AVENUE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85304",
            "telephone_number": "602-588-6600",
            "fax_number": "602-588-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SY",
        "first_name": "MARICHU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "26321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425365",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.