Dr Marc Taro Ishizuka, DO - Psychiatry & Neurology in Greenville, SC

Dr Marc Taro Ishizuka, DO is a Psychiatry & Neurology - Psychiatry physician based in Greenville, South Carolina. Dr Marc Taro Ishizuka is licensed to practice in South Carolina (license number 2012-01291) and his current practice location is 41 Park Creek Dr, Va Outpatient Clinic In Greenville, Greenville, South Carolina. He can be reached at his office (for appointments etc.) via phone at (864) 299-1600.

NPI number for Dr Marc Taro Ishizuka is 1023230844 and his current mailing address is 41 Park Creek Dr, Va Outpatient Clinic In Greenville, Greenville, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023230844.

Contact Information

Dr Marc Taro Ishizuka, DO
41 Park Creek Dr, Va Outpatient Clinic In Greenville,
Greenville, SC 29605-4270
(864) 299-1600
Not Available

Map and Direction




Physician's Profile

Full NameDr Marc Taro Ishizuka
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location41 Park Creek Dr, Greenville, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023230844
  • Provider Enumeration Date: 05/02/2007
  • Last Update Date: 03/24/2017

Medical Identifiers

Medical identifiers for Dr Marc Taro Ishizuka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023230844NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry OT010508 (Pennsylvania)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 25MB08244700 (New Jersey)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 2012-01291 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Marc Taro Ishizuka is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Marc Taro Ishizuka, DO
41 Park Creek Dr, Va Outpatient Clinic In Greenville,
Greenville, SC 29605-4270

Ph: (864) 299-1600
Dr Marc Taro Ishizuka, DO
41 Park Creek Dr, Va Outpatient Clinic In Greenville,
Greenville, SC 29605-4270

Ph: (864) 299-1600

Reviews and Comments


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