Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark C Sivakoff, MD

Individual provider Pediatrics Physician · NPI 1063416758

Mark C Sivakoff, MD is a Pediatrics Physician in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15351 W Bell Rd
Surprise, AZ 85374-4580
Phone: (877) 809-5092
Fax: (623) 815-9253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 34095 (AZ)

Record details

NPI number1063416758
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2005
Last updated in NPPESApril 8, 2013
Mailing address9520 W Palm Ln, Suite 200, Phoenix, AZ 85037-4403

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