Marvin K Tam (NPI# 1174512032, PAC ID# 6002711991) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1174512032 |
| PAC ID by PECOS | 6002711991 |
| Professional Enrollment ID | I20031204000128 |
| Full Name | Marvin K Tam |
| Organization Legal Name | BANNER IMAGING SERVICES LLC |
| Address |
18275 N 59th Ave Suite K 168 Glendale AZ 85308-1260 |
| Phone Number | 6238425939 |
| Gender | M |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1993 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1850724386 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030065 | BANNER DESERT MEDICAL CENTER |
| 030088 | BANNER BAYWOOD MEDICAL CENTER |
| 030016 | BANNER CASA GRANDE MEDICAL CENTER |
| 030122 | BANNER GATEWAY MEDICAL CENTER |
| 030105 | BANNER HEART HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 | 6238425939 | BANNER IMAGING SERVICES LLC |
| 18275 N 59th Ave, Suite 168, Glendale, AZ 85308-1254 | 6238472000 | ASSOCIATED VALLEY RADIOLOGISTS LTD |
| 16641 N 40th St, Suite 1, Phoenix, AZ 85032-3343 | 6239317999 | SOUTHWEST DIAGNOSTIC IMAGING LTD |
| Organization Legal Name | BANNER IMAGING SERVICES LLC |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise J Smith | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Nicholas J Weisman | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Daniel Joseph Choe | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Zifa Wang | Interventional Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Scott D Agran | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Tobias Schifter | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| James B Lyons | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Douglas Smoot Lewis | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Brian J Frohna | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Aaron L Greeley | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Street Address |
18275 N 59TH AVE SUITE K 168 |
| City | GLENDALE |
| State | AZ |
| Zip | 85308-1260 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise J Smith | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Nicholas J Weisman | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Daniel Joseph Choe | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Zifa Wang | Interventional Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Scott D Agran | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Tobias Schifter | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| James B Lyons | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Douglas Smoot Lewis | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Brian J Frohna | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Aaron L Greeley | Diagnostic Radiology | Banner Imaging Services LLC | 18275 N 59th Ave, Suite K 168, Glendale, AZ 85308-1260 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Will V Jeffers | Family Practice | Will Jeffers D.o., P.C. | 8251 W Union Hills Dr, 140 Now Care, Glendale, AZ 85308-0505 |
| Samyuktha Sreenivasan | Internal Medicine | Vhs Outpatient Clinics Inc | 18185 N 83rd Ave, Bldg D 107, Glendale, AZ 85308-0520 |
| Waheeda Siddiqui Ahmed | Nurse Practitioner | Vhs Outpatient Clinics Inc | 18185 N 83rd Ave, Bldg D 107, Glendale, AZ 85308-0520 |
| Henry Richard Mora | Family Practice | Vhs Outpatient Clinics Inc | 18185 N 83rd Ave, Bldg D 107, Glendale, AZ 85308-0520 |
| James Francois | Optometry | Nationwide Optometry P.C. | 20221 N 67th Ave, Suite E8, Glendale, AZ 85308-0602 |
| David E Hawkins | Physical Therapy | Achieve Physical Therapy of Arizona, Pllc | 17235 N 75th Ave, Suite E145, Glendale, AZ 85308-0867 |
| Philip J Zair | Chiropractic | Living Pure Chiropractic LLC | 17235 N 75th Ave, Suite F 110, Glendale, AZ 85308-0872 |
| Melanie H Dias | Chiropractic | Living Pure Chiropractic LLC | 17235 N 75th Ave, Suite F 110, Glendale, AZ 85308-0872 |
| Kristina A Fawcett | Nurse Practitioner | Berman Medical Consulting, PC | 6320 W Union Hills Dr, Building A Suite 140, Glendale, AZ 85308-1061 |
| Michael L Berman | Internal Medicine | Berman Medical Consulting, PC | 6320 W Union Hills Dr, Building A Suite 140, Glendale, AZ 85308-1061 |
| Find all physicians in zip 85308 | |||
| City | GLENDALE |
| Zip Code | 85308 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GLENDALE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Marvin K Tam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.