Magnum Anesthesia, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MAGNUM ANESTHESIA, LLC

Practice address

3724 N 3Rd St Ste 301
Phoenix, AZ 85012-2035

Phone

(480) 634-6400

Fax

(480) 404-9649

NPI assigned

May 31, 2017

Organization subpart

No

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

Authorized official

Name

Challen Waychoff III

Title

Coo / Manager

Phone

(760) 486-9634

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477081792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 N 3RD ST STE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122035",
            "telephone_number": "480-634-6400",
            "fax_number": "480-404-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 N 3RD ST STE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122035",
            "telephone_number": "480-634-6400",
            "fax_number": "480-404-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNUM ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WAYCHOFF",
        "authorized_official_first_name": "CHALLEN",
        "authorized_official_title_or_position": "COO / MANAGER",
        "authorized_official_telephone_number": "760-486-9634",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesseca A Maglothin
• Jessie Elizabeth Magnani, MD
• Magnolia Health Services LLC
• Magnolia Wellness Collective
• Alyssa Magnotte, D.PT
• Laura Beth Magnuson, LAMFT
• Jagrit Mago, DPT
• Laura Mae Magoffie, RN, FNP
• Kenneth Anthony Magri III, DDS
• Rodolfo Quizon Magsarili Jr., RPH

• Anesthesiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Anesthesiology Physician in Arizona

• 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.