Maverick Medical PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MAVERICK MEDICAL PLC

Practice address

4545 N 36TH St Ste 106
Phoenix, AZ 85018-3473

Phone

(480) 589-9518

NPI assigned

May 4, 2022

Organization subpart

No

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

Authorized official

Name

Caitlin Allen, MDNPI 1164885588

Title

Owner

Phone

(480) 589-9518

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23713/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caitlin Allen

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1164885588
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1881339745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N 36TH ST STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183473",
            "telephone_number": "480-589-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N 36TH ST STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183473",
            "telephone_number": "480-589-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVERICK MEDICAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-589-9518",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Infania Mauro, DMD
• Emily Mauser, DPT
• Sara Mauseth
• Mav Hospice Care Inc
• Iveth Rocio Mavarez de Tarantino, FNP-C
• Julie Ann Ty Mavez
• Megan Mavromatis
• Lee Ann Mawson
• Joseph R Mawyer, DO
• Max Behavioral Health Outpatient

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.