DR. MARCIA MASTRIN M.D. NPI 1801906771

NPI Information

NPI: 1801906771
Provider Name: DR. MARCIA MASTRIN, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
2040 W BETHANY HOME RD
STE 102
PHOENIX, AZ
ZIP 85015
Phone: (602) 368-8800
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DR. Marcia Mastrin, M.D. is a specialist in Phoenix, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Marcia Mastrin, M.D. NPI is 1801906771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2040 W BETHANY HOME RD
STE 102
PHOENIX, AZ
ZIP 85015-473
Phone: (602) 368-8800
Fax: (602) 368-8801

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		31029	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AZ0770960	OTHER	ARIZONA	BCBS
2	84028	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA
3	927270	MEDICAID	ARIZONA
4	E75326	MEDICARE UPIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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