Organization Active NPI

Rem Neuromonitoring LLC

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1629506373
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
REM NEUROMONITORING LLC
Practice address
20235 N Cave Creek Rd Ste 104-495
Phoenix, AZ 85024-4424
Phone
(602) 717-1750
NPI assigned
May 25, 2017
Last updated
May 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Authorized official

Name
Mr. Gregory B Maxon Maldonado
Title
Manager
Phone
(602) 369-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

20235 N Cave Creek Rd Ste 104-495
Phoenix, AZ 85024-4424

Mailing address

20235 N Cave Creek Rd Ste 104-495
Phoenix, AZ 85024-4424

National Provider Directory

National Provider Directory

Locations

20235 N Cave Creek Rd
Ste 104495
Phoenix, AZ 85024
Phone (602) 717-1750

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1629506373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20235 N CAVE CREEK RD STE 104-495",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20235 N CAVE CREEK RD STE 104-495",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244424",
            "telephone_number": "602-717-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM NEUROMONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "MAXON MALDONADO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-369-8112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.