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MARC E GOTTLIEB MD PC
NPI 1376870501
Surgery - Plastic and Reconstructive Surgery in Phoenix, AZ

Active since November 09, 2009
1012 E WILLETTA ST, PHOENIX, AZ 85006(602) 239-6040(602) 252-2367 Get Directions Write a Review

NPPES record last updated: November 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marc E Gottlieb Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARC E GOTTLIEB MD PC (NPI 1376870501) is a healthcare organization registered as a plastic and reconstructive surgery in Phoenix, Arizona and active in the NPI registry since November 2009. The organization lists Marc E Gottlieb, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1376870501
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameMARC E GOTTLIEB MD PC
Location Address1012 E WILLETTA STPhoenix, AZ 85006-2749
Mailing AddressPo Box 86040Phoenix, AZ 85080-6040 · (602) 252-3354 · Fax (602) 252-2367
Phone(602) 239-6040
Fax(602) 252-2367
Organization SubpartNo
Authorized OfficialMarc E GottliebPhysician Owner · (602) 252-3354
Enumeration DateNovember 9, 2009
✔ NPI 1376870501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in AZ · 20039
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1012 E WILLETTA ST, Phoenix, AZ 85006
Open in Google Maps ↗

Other Identifiers 2

Medicaid053025AZ
Medicare UPINA50979

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TROY SCOTT WILDE D.P.M.
Podiatrist (Foot & Ankle Surgery)
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-6484
JOSHUA LESLIE
Physical Therapy Assistant
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-2317
SAMANTHA BRADLEY
Clinic/Center (Physical Therapy)
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-6533
KARISSA MITCHELL FNP
Nurse Practitioner (Family)
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-6040
RENEE SCHULZ PT
Physical Therapist
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-2317
JILL CABLE MS, CCC-SLP
Speech-Language Pathologist
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-2141
DR. DANA ALESSE JAMISON M.D.
Orthopaedic Surgery
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 239-6040
YOUNG W. KAHN, M.D., L.L.C.
Physical Medicine & Rehabilitation
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 239-4056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc E Gottlieb MD PC's NPI number?

The NPI number for Marc E Gottlieb MD PC is 1376870501. It was assigned to this organization in the NPPES registry on November 9, 2009.

Where is Marc E Gottlieb MD PC located?

Marc E Gottlieb MD PC is located at 1012 E Willetta St, Phoenix, AZ 85006. The listed phone number is (602) 239-6040.

What is Marc E Gottlieb MD PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Marc E Gottlieb MD PC was last updated on November 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.