Madix Medical Center, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MADIX MEDICAL CENTER, PLLC

Practice address

1608 N Stockton Hill Rd Ste 101
Kingman, AZ 86401-4142

Phone

(928) 377-1984

Fax

(928) 377-1983

NPI assigned

Jun 16, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Jacey L Mitchell, NP

Title

Owner/Nurse Practitioner

Phone

(928) 377-1984

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408147200000",
    "number": "1134533425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 N STOCKTON HILL RD STE 101",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014142",
            "telephone_number": "928-377-1984",
            "fax_number": "928-377-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 N STOCKTON HILL RD STE 101",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014142",
            "telephone_number": "928-377-1984",
            "fax_number": "928-377-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADIX MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-08-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "928-377-1984",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jay Luttrull, PHARMD
• Wendy Luu
• Hellen Ly
• Sarah Lybrand
• Marissa Sue Madison, PA
• Ashwin Kumar Mahajan
• Phuong Quynh Mai, PHARMD
• Yusria Rifat Malik, M.D., M.P.H.
• Sarah Ann Mandujano, LAT, ATC
• Sheila R Mane, MD

• General Practice Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2014; 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.