Mag7 Rem LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

MAG7 REM LLC

Practice address

4540 E Baseline Rd Ste 105
Mesa, AZ 85206-4616

Phone

(480) 897-3300

NPI assigned

Oct 5, 2017

Organization subpart

No

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

Addresses

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": "1528578465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 CENTERVILLE ROAD",
            "address_2": "PMB 649",
            "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": "480-897-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAG7 REM 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": []
}

• Gina Madsen, APRN
• Mark A. Madsen, M.D.
• Michael Robert Madsen, CPSS
• Stanford K. Madsen, DDS
• Mag7 Neurology LLC
• Julianne Cauwet Magdaleno, FNP
• Ashley Magee, NMD
• Daisy Magee, PA-C
• Magellan Health Services of Arizona, Inc.
• Magellan Health Services of Arizona, Inc.

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

• 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.

Verify at the official NPI Registry.