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NPISignal

Individual Healthcare Provider

Mark Gruszynski, M.D.

NPI Record: ActiveSurgery — Plastic and Reconstructive Surgery
NPI1396188033
Paradise Valley, Arizona

Provider's NPPES record last updated: August 12, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1396188033
Primary Specialty
Surgery — Plastic and Reconstructive Surgery
Practice Location
Paradise Valley, Arizona
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 9:37 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Plastic and Reconstructive Surgery

    Allopathic & Osteopathic Physicians

    Primary

    A surgeon who specializes in plastic and reconstructive surgery.

    Taxonomy code 2086S0122X
  • Plastic Surgery

    Allopathic & Osteopathic Physicians

    A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

    Taxonomy code 208200000X

Provider-Reported License Information

Surgery (Arizona)
60876
Plastic Surgery (Arizona)
60876
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

5410 N Scottsdale Rd Ste A200

Paradise Valley, Arizona 85253-5958

Phone: (480) 848-2757

Additional Practice Location

2820 N Glassford Hill Rd Ste 107

Prescott Valley, Arizona 86314-2256

Phone: (928) 772-8553

Fax: (928) 776-0405

Additional Practice Location

830 Ainsworth Dr

Prescott, Arizona 86301-1630

Phone: (928) 777-5800

Fax: (928) 776-0405

Additional Practice Location

820 Ainsworth Dr Ste A

Prescott, Arizona 86301-1613

Phone: (928) 777-5800

Fax: (928) 776-0405

Record Information

Enumeration Date
April 11, 2013
Provider's NPPES Record Last Updated
August 12, 2025
Certification Date
August 12, 2025
NPISignal NPPES Dataset
August 2026

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