MARYVALE INTEGRATED MEDICAL GROUP - LLC
NPI 1467656991
Psychiatry & Neurology - Neurology in Phoneix, AZ

Active since June 11, 2007
5251 W CAMPBELL AVE, STE 206, PHONEIX, AZ 85031(623) 848-3020(623) 848-3019 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Maryvale Integrated Medical Group - Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYVALE INTEGRATED MEDICAL GROUP - LLC (NPI 1467656991) is a healthcare organization registered as a neurology in Phoneix, Arizona and active in the NPI registry since June 2007. The organization lists Thomas D Perry, Md President, as its authorized official.

NPPES Registry Identity

NPI1467656991
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameMARYVALE INTEGRATED MEDICAL GROUP - LLC
Location Address5251 W CAMPBELL AVE, STE 206Phoneix, AZ 85031
Mailing Address5251 W Campbell Ave, Ste 206Phoneix, AZ 85031 · (623) 848-3020 · Fax (623) 848-3019
Fax(623) 848-3019
Organization SubpartNo
Authorized OfficialThomas D PerryMd President · (623) 848-3295
Enumeration DateJune 11, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1467656991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
5251 W CAMPBELL AVE, Phoneix, AZ 85031

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5251 W CAMPBELL AVE
PHOENIX, AZ 85031
Physician Assistant (Medical)
5251 W CAMPBELL AVE, #200
PHOENIX, AZ 85031
Pediatrics (Pediatric Pulmonology)
5251 W CAMPBELL AVE, SUITE 110
PHOENIX, AZ 85031
Nurse Practitioner (Family)
5251 W CAMPBELL AVE
PHOENIX, AZ 85031
Family Medicine
5251 W CAMPBELL AVE, 200
PHOENIX, AZ 85031
Physician Assistant
5251 W CAMPBELL AVE, SUITE 204
PHOENIX, AZ 85031
Durable Medical Equipment & Medical Supplies
5251 W CAMPBELL AVE, SUITE 102
PHOENIX, AZ 85031
Specialist
5251 W CAMPBELL AVE, SUITE 207
PHOENIX, AZ 85031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryvale Integrated Medical Group - LLC's NPI number?

The NPI number for Maryvale Integrated Medical Group - LLC is 1467656991. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Maryvale Integrated Medical Group - LLC located?

Maryvale Integrated Medical Group - LLC is located at 5251 W Campbell Ave Ste 206, Phoneix, AZ 85031. The listed phone number is (623) 848-3020.

What is Maryvale Integrated Medical Group - LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Maryvale Integrated Medical Group - LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.