MARC E GOTTLIEB


Address: 1012 E Willetta Street, Phoenix, AZ 85006
Phone: 6028396040

MARC E GOTTLIEB (NPI# 1275521635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275521635
Entity Type Individual
Full Name MARC E GOTTLIEB
Credential M.D.
Practice Address 1012 E Willetta Street
Phoenix
AZ 85006
Practice Telephone 6028396040
Practice Fax Number 6028394375
Mailing Telephone 6028396040
Mailing Fax Number 6028394375
Enumeration Date 2005-10-10
Last Update Date 2016-07-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
20039 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 053025 05

Other Providers MARC GOTTLIEB

NPI Name Taxonomy Address Enumeration
1700886199 Marc S Gottlieb Chiropractor 9380 Falls of Neuse Rd, Suite 101, Raleigh, NC 27615-2412 2005-07-28
1023258605 Marc Richard Gottlieb Chiropractor 1452 University Ave, San Diego, CA 92103-3405 2009-02-23
1114931243 Marc Gottlieb Dentist 3601 Hempstead Tpke, Levittown, NY 11756-1375 2006-07-27
1306898325 Marc S Gottlieb Internal Medicine 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1407 2006-05-17
1104803287 Marc David Gottlieb Otolaryngology 121 Dekalb Ave, Ste 9e Maynard Bldg, Brooklyn, NY 11201-5425 2005-12-29

Office Location

Street Address 1012 E WILLETTA STREET
City PHOENIX
State AZ
Zip Code 85006

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356949929 Teresa Louise Cox Pharmacist 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 2020-10-15
1558985036 Amanda Stanford Nurse Practitioner 925 E Mc Dowell Rd, Phoenix, AZ 85006 2020-06-01
1023638582 Supraja Prakash Genetic Counselor, MS 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 2020-04-24
1760017099 Phoenix Medical Psychiatric Hospital, LLC Psychiatric Hospital 1346 Mcdowell Road, Phoenix, AZ 85006 2020-03-06
1265093108 Zulianna Ibrahim Student in an Organized Health Care Education/Training Program Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 2019-06-21
1306318340 Leah Margaret Hillier Family Medicine 1300 N 12th St - Suite 500, Phoenix, AZ 85006 2018-12-31
1477032357 Joann Moskop Chiropractor 2719 N Greenfield Rd., Phoenix, AZ 85006 2018-08-10
1619464468 Ana Maria Lara Naturopath 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 2018-04-17
1194221770 Nisha Bharat Patel Student in an Organized Health Care Education/Training Program Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 2018-04-03
1710486352 Julia Cyr Registered Nurse 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 2018-02-09
Find all providers in zip 85006

Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144430182 Jason Lee Mussman Surgery 10240 W. Indian School Rd., Suite 115, Phoenix, AZ 85037 2007-05-22
1801832977 Tamir Mosharrafa Surgery 4611 E Shea Blvd Ste 230, Phoenix, AZ 85028 2006-06-20
1598705410 Robert J Mcgregor Surgery 7601 N Central Ave, Unit 23, Phoenix, AZ 85020-4079 2006-06-08
1457303471 Ali M Mosharrafa Surgery 4611 E Shea Blvd, Suite 230, Phoenix, AZ 85028-4254 2006-05-17
1730138561 Travis C Holcombe Surgery 300 W Clarendon Ave Ste 440, Phoenix, AZ 85013-3420 2006-05-09
1104817378 Barry Fernando Surgery 2777 E Camelback Rd Ste 140, #780, Phoenix, AZ 85016-4351 2005-11-04
1457969115 Regenerative Institute Pllc Surgery 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 2020-07-20
1164058954 Leland H Webb Md Plastic Surgery Plc Surgery 300 W Clarendon Ave Ste 440, Phoenix, AZ 85013-3476 2020-03-12
1508421819 Phoenix Plastic Surgery, Pllc Surgery 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 2019-05-02
1972086924 Regency Reconstruction Pllc Surgery 10240 W Indian School Rd Ste 115, Phoenix, AZ 85037-5905 2018-09-14
Find all providers in PHOENIX

Competitor

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City PHOENIX
Zip Code 85006

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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