Active NPI
Mag7 Neurology LLC
- Neurology Physician
- Mesa, AZ
National Provider Identifier
1386154219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- MAG7 NEUROLOGY LLC
- Practice address
- 4540 E Baseline Rd Ste 105
Mesa, AZ 85206-4616 - Phone
- (480) 893-3300
- NPI assigned
- Oct 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Crist
- Title
- Manager
- Phone
- (480) 897-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
4540 E Baseline Rd Ste 105
Mesa, AZ 85206-4616
Mailing address
2801 Centerville Road
PMB 648
Wilmington, DE 19808-1609
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507161600000",
"number": "1386154219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 CENTERVILLE ROAD",
"address_2": "PMB 648",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198081609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4540 E BASELINE RD STE 105",
"city": "MESA",
"state": "AZ",
"postal_code": "852064616",
"telephone_number": "480-893-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAG7 NEUROLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-05",
"last_updated": "2017-10-05",
"status": "A",
"authorized_official_last_name": "CRIST",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "480-897-3300"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.