Movement Disorders Center of Arizona LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

MOVEMENT DISORDERS CENTER OF ARIZONA LLC

Practice address

13945 W Grand Ave
Suite 102
Surprise, AZ 85374-2437

Phone

(480) 526-5441

Fax

(480) 526-5443

NPI assigned

Mar 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Virgilio Gerald Hilario Evidente, M.D.

Title

Sole Member

Phone

(480) 526-5449

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virgilio H Evidente, M.D.

  • Neurology Physician
  • Scottsdale, AZ
  • NPI 1730163353
  Medicare reassignment NPD

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1295050409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10635 N 140TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595500",
            "telephone_number": "480-526-5449",
            "fax_number": "480-526-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13945 W GRAND AVE",
            "address_2": "SUITE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742437",
            "telephone_number": "480-526-5441",
            "fax_number": "480-526-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT DISORDERS CENTER OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "EVIDENTE",
        "authorized_official_first_name": "VIRGILIO GERALD",
        "authorized_official_middle_name": "HILARIO",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "480-526-5449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Mostert, MD
• Mountain View Group Home
• Mountain View Home & Services
• Mountainside Fitness Acquisitions, LLC
• Mountainside Massage
• Steven Mrgudich, PHARM.D
• Melisa Muhic, PHARMD
• Debbie Mulder
• Jason Lee Mulder, D.C.
• Linda Mullen-Winer, MS CCC-SLP

• Neurology Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.