Active NPI
Rem Neuromonitoring LLC
- Neurology Physician
- Phoenix, AZ
National Provider Identifier
1629506373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- 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, 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
- Mr. Gregory B Maxon Maldonado
- Title
- Manager
- Phone
- (602) 369-8112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.