Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Marc Taro Ishizuka, DO

Individual provider Psychiatry Physician · NPI 1023230844

Dr. Marc Taro Ishizuka, DO is a Psychiatry Physician in Greenville, South Carolina. Licensed in New Jersey, Pennsylvania and South Carolina. Registered with an NPI since 2007.

Licensed in
NJ, PA, SC
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

41 Park Creek Dr VA Outpatient Clinic In Greenville
Greenville, SC 29605-4270
Phone: (864) 299-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2012-01291 (SC)
Psychiatry Physician Taxonomy 2084P0800X · Licence OT010508 (PA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 25MB08244700 (NJ)

Record details

NPI number1023230844
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESMarch 24, 2017

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