Ma Iom, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

MA IOM, LLC

Practice address

3329 E Bell Rd Ste A2-A5
Phoenix, AZ 85032-2756

Phone

(602) 482-2282

NPI assigned

May 6, 2021

Organization subpart

No

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

Authorized official

Name

Pierce Waychoff

Title

Owner

Phone

(602) 482-2282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1801470885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42057",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850802057",
            "telephone_number": "602-482-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 E BELL RD STE A2-A5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322756",
            "telephone_number": "602-482-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA IOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "WAYCHOFF",
        "authorized_official_first_name": "PIERCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-482-2282"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.