Active NPI
Agave Matrix LLC
- Anesthesiology Physician
- Chandler, AZ
National Provider Identifier
1578074209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- AGAVE MATRIX LLC
- Practice address
- 1100 S Dobson Rd Ste 204
Chandler, AZ 85286-6160 - Phone
- (602) 582-5233
- NPI assigned
- Oct 20, 2017
- Last updated
- Oct 20, 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
- Polly Pollman
- Title
- Admin
- Phone
- (602) 582-5233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
1100 S Dobson Rd Ste 204
Chandler, AZ 85286-6160
Mailing address
2801 Centerville Road, PMB 650
Wilmington, DE 19808
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508457600000",
"number": "1578074209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 CENTERVILLE ROAD, PMB 650",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S DOBSON RD STE 204",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852866160",
"telephone_number": "602-582-5233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAVE MATRIX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-20",
"last_updated": "2017-10-20",
"status": "A",
"authorized_official_last_name": "POLLMAN",
"authorized_official_first_name": "POLLY",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "602-582-5233"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
- Affinity Family Medicine
- Hossein Afshari
- Anisha Agarwal
- Agave Eye Care, PLLC
- Agave Family Dental PLLC (Agave Family Dental)
- Agh Laveen LLC (Dignity Health Arizona General Hospital Emergency Room)
- Agh Laveen LLC (Dignity Health Arizona General Hospital Emergency Room)
- Agh Mesa LLC (Dignity Health Arizona General Hospital Emergency Room - Chandler)
- Agh Mesa LLC (Dignity Health Arizona General Hospital Emergency Room - Chandler McQu)
- Shireen A Aghdami, MA, LPC, LISAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.