Organization Active NPI

Matrix Management LLC

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1043732803
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MATRIX MANAGEMENT LLC
Practice address
19820 N 7TH Ave Ste 230H
Phoenix, AZ 85027-4785
Phone
(602) 369-8112
NPI assigned
Jul 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gregory B Maxon Maldonado
Title
Manager
Phone
(602) 369-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

19820 N 7TH Ave Ste 230H
Phoenix, AZ 85027-4785

Mailing address

19820 N 7TH Ave Ste 230H
Phoenix, AZ 85027-4785
Phone (602) 369-8112

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043732803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 N 7TH AVE STE 230H",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274785",
            "telephone_number": "602-369-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19820 N 7TH AVE STE 230H",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274785",
            "telephone_number": "602-369-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MAXON MALDONADO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-369-8112"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.