Active NPI
Marichu Sy, MD
- Family Medicine Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26321
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 425365 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050314000293 | AZ | Practitioner - Family Practice | 1456306406 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26321 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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. | Current | Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Current | 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.
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1245338235
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1689745333
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1942371679
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1073626404
-
- Multi-Specialty Clinic/Center
- Peoria, AZ
- NPI 1730417676
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.