MARCELINE E NDUM


Address: 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225
Phone: 4802989951

MARCELINE E NDUM (NPI# 1366007411) 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) 1366007411
Entity Type Individual
Full Name MARCELINE E NDUM
Practice Address 10631 S. 51st Street, Suite 1
Phoenix
AZ 85044-5225
Mailing Address 14780 W Mountain View Blvd
Ste 110
Surprise
AZ 85374-7280
Practice Telephone 4802989951
Mailing Telephone 6233747774
Mailing Fax Number 8559591911
Enumeration Date 2019-05-03
Last Update Date 2019-08-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 224902 AZ Allopathic & Osteopathic Physicians

Office Location

Street Address 10631 S. 51ST STREET, SUITE 1
City PHOENIX
State AZ
Zip Code 85044-5225

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023637345 Jamie Roshun Dawson Contractor 13229 S 48th St Apt 3051, Phoenix, AZ 85044 2020-04-16
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1134777634 Elite Therapy of Az Occupational Therapist 15245 S 48th Street, Phoenix, AZ 85044 2019-08-28
1487217584 Vitae Felix Psychologist 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 2019-04-16
1578082392 Karena Janiece Herron Nurse Practitioner 13625 S 48th St Apt 2100, Phoenix, AZ 85044 2017-09-13
1053847319 Amanda Girardi Dentist 4726 E Verbena Dr, Phoenix, AZ 85044 2017-05-05
1518402593 Janet Swift Counselor 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 2016-12-29
1588074876 Suzanne Morris Nurse Practitioner 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 2014-05-07
1891117974 Dr. Cameron Khavari Pllc Chiropractor 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 2014-01-09
1316213416 Shyam Sundar Tangri Internal Medicine 13623 S. 45th St, Phoenix, AZ 85044 2012-03-22
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194339200 Madison Le Family Medicine 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 2020-09-04
1720604069 Good Health Medical, PC Family Medicine 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 2020-06-23
1427670751 Florence Wellness Pllc Family Medicine 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 2020-05-08
1437782257 Jillian Knapp Family Medicine 521 W Butler Dr, Phoenix, AZ 85021-4526 2020-02-20
1861033912 Vanessa Lissette Lara Family Medicine 1459 E Flower St, Phoenix, AZ 85014-5666 2019-09-30
1306318340 Leah Margaret Hillier Family Medicine 1300 N 12th St - Suite 500, Phoenix, AZ 85006 2018-12-31
1326510389 Leanne J Muniz Family Medicine 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 2018-12-31
1164905535 Clark Medical, Pllc Family Medicine 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 2018-09-12
1780180901 Babymoon Inn Family Care LLC Family Medicine 202 E Morris Dr, Phoenix, AZ 85012-2323 2018-04-05
1093217713 Western Mobile Medical Family Medicine 18441 N 25th Ave Ste 103, Phoenix, AZ 85023-1256 2018-03-08
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Competitor

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City PHOENIX
Zip Code 85044

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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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