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COPPER STATE VASCULAR
NPI 1639863863
Radiology - Vascular & Interventional Radiology in Mesa, AZ

Active since June 08, 2023
535 E MCKELLIPS RD STE 111, MESA, AZ 85203(480) 510-3079 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Jun 8, 2023 (2 updates tracked since 2023).

About Copper State Vascular NPPES

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

COPPER STATE VASCULAR (NPI 1639863863) is a healthcare organization registered as a vascular & interventional radiology in Mesa, Arizona and active in the NPI registry since June 2023. The organization lists Marc L Eckhauser, Vascular Surgeon, as its authorized official.

NPPES Registry Identity

NPI1639863863
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameGHGB-I PLLC
Location Address535 E MCKELLIPS RD STE 111Mesa, AZ 85203-2525
Mailing Address535 E Mckellips Rd Ste 111Mesa, AZ 85203-2525 · (480) 510-3079
Phone(480) 510-3079
Organization SubpartNo
Authorized OfficialMarc L EckhauserVascular Surgeon · (480) 510-3079
Enumeration DateJune 8, 2023
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1639863863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
535 E MCKELLIPS RD STE 111, Mesa, AZ 85203
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Other Names 1

Doing Business AsCopper State Vascular

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

FIRST NATIONS LIMB PRESERVATION FOUNDATION
Radiology (Vascular & Interventional Radiology)
535 E MCKELLIPS RD STE 111
MESA, AZ 85203
Maricopa County (480) 840-4230
JEFFREY M BRAXTON M.D., F.A.C.S.
Surgery
535 E MCKELLIPS RD STE 111
MESA, AZ 85203
Maricopa County (480) 510-3079
PAIN MANAGEMENT & REHABILITATION MEDICINE CENTER PC
Pain Medicine (Pain Medicine)
535 E MCKELLIPS RD STE 111
MESA, AZ 85203
Maricopa County (480) 223-1333
MODERN VASCULAR OF MESA, LLC
Radiology (Vascular & Interventional Radiology)
535 E MCKELLIPS RD STE 111
MESA, AZ 85203
Maricopa County (480) 223-1333
ADVANCED MINIMALLY INVASIVE SURGICAL
Surgery (Vascular Surgery)
535 E MCKELLIPS RD STE 111
MESA, AZ 85203
Maricopa County (480) 510-3079

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 Ghgb-I PLLC's NPI number?

The NPI number for Ghgb-I PLLC is 1639863863. It was assigned to this organization in the NPPES registry on June 8, 2023. The provider is doing business as Copper State Vascular.

Where is Ghgb-I PLLC located?

Ghgb-I PLLC is located at 535 E Mckellips Rd Ste 111, Mesa, AZ 85203. The listed phone number is (480) 510-3079.

What is Ghgb-I PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Ghgb-I PLLC was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.