Organization Active NPI

Matrix Anesthesia LLC

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1225576184
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MATRIX ANESTHESIA LLC
Practice address
19820 N 7TH Ave Ste 230B
Phoenix, AZ 85027-4785
Phone
(602) 469-4178
NPI assigned
Feb 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Mr. Gregory B Maxon Maldonado
Title
Manager
Phone
(602) 469-4178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

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

Mailing address

19820 N 7TH Ave Ste 230B
Phoenix, AZ 85027-4785
Phone (602) 469-4178

National Provider Directory

National Provider Directory

Locations

19820 N 7th Ave
Ste 230B
Phoenix, AZ 85027
Phone (602) 469-4178

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1225576184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 N 7TH AVE STE 230B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274785",
            "telephone_number": "602-469-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19820 N 7TH AVE STE 230B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274785",
            "telephone_number": "602-469-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "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": "602-469-4178",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-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 Feb 10, 2017; 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.