DR. MARC LEWIS ECKHAUSER (NPI# 1811997513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811997513 |
| Entity Type | Individual |
| Full Name | DR. MARC LEWIS ECKHAUSER |
| Credential | M.D. |
| Practice Address |
15571 N Reems Rd Surprise AZ 85374-9584 |
| Practice Telephone | 6235446932 |
| Practice Fax Number | 6233211070 |
| Mailing Telephone | 6235446932 |
| Mailing Fax Number | 6233211070 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2013-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
30602 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 714247 | 05 |
| Street Address |
15571 N REEMS RD |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-9584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164970968 | Nhc Arizona Professional Associates LLC | Surgery | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2016-09-21 |
| 1477946127 | Shari Fowler | Registered Nurse | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2015-03-05 |
| 1821481573 | Charise Green | Registered Nurse | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2015-03-05 |
| 1376936021 | Kele Preslar | Registered Nurse | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2015-03-05 |
| 1194117358 | Terri Vasquez | Registered Nurse | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2015-02-25 |
| 1730571993 | Belinda Watson | Registered Nurse | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2015-02-25 |
| 1740683762 | Reems Surgery Center LLC | Clinic/Center | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2014-10-04 |
| 1538414909 | Dennis Good | Physician Assistant | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2012-07-20 |
| 1376819300 | Prime Meridian Investment Group | Clinic/Center | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2012-03-23 |
| 1326313222 | Jennifer Hill | Nurse Practitioner | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2012-03-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619959970 | Limor Philipp Wall | Surgery | 15571 North Reems Road, Surprise, AZ 85374 | 2005-11-14 |
| 1255817847 | Atlantis Cardiac & Vascular Center of Surprise, LLC | Surgery | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2018-07-17 |
| 1902312317 | Pinnacle Vein and Vascular Center Pllc | Surgery | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2017-12-20 |
| 1164970968 | Nhc Arizona Professional Associates LLC | Surgery | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2016-09-21 |
| 1083999361 | Arizona Vein and Vascular Center LLC | Surgery | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2011-10-18 |
| 1396917761 | L Philipp Wall Md PC | Surgery | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2008-03-26 |
| 1063632149 | Stephen Troy Smith | Surgery | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127858 | Flagstaff Pain and Treatment Center LLC | Surgery | 823 N San Francisco St, Flagstaff, AZ 86001-3294 | 2020-08-31 |
| 1013531268 | Honorhealth Ambulatory | Surgery | 6220 W Bell Rd Ste 120, Glendale, AZ 85308-3896 | 2020-06-03 |
| 1649894890 | Honorhealth Ambulatory | Surgery | 9250 N 3rd St Ste 2000, Phoenix, AZ 85020-2403 | 2020-06-03 |
| 1275157414 | Honorhealth Ambulatory | Surgery | 18404 N Tatum Blvd Ste 201, Phoenix, AZ 85032-1508 | 2020-06-03 |
| 1568025617 | Caronae Howell | Surgery | University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 | 2019-04-15 |
| 1790144889 | Scottsdale Healthcare Corporation | Surgery | 7301 E Osborn Rd., Suite 100, Scottsdale, AZ 85251 | 2016-02-17 |
| 1588061535 | Eugene Melvin Zweiback Md | Surgery | 7619 E Nogales Road, Scottsdale, AZ 85258 | 2014-11-19 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1275876518 | Sara Catherine Mckeever | Surgery | 6565 E Carondelet Dr Ste 235, Tucson, AZ 85710-3533 | 2013-04-05 |
| 1689928061 | Michael Arthur Davis | Surgery | 2744 Silver Creek Rd, Bullhead City, AZ 86442-7913 | 2012-11-06 |
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| 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.