Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryvale Medical LLC

Organization Case Manager/Care Coordinator · NPI 1538662077

Maryvale Medical LLC is a Case Manager/Care Coordinator in Phoenix, Arizona. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7141 W Thomas Rd Ste 101
Phoenix, AZ 85033-5518
Phone: (480) 634-6400
Fax: (480) 404-9649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1538662077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Challen Waychoff — Coo/Manager · (480) 634-6400
NPI enumeratedMarch 12, 2018
Last updated in NPPESMarch 12, 2018
Mailing address3724 N 3rd St Ste 301, Phoenix, AZ 85012-2035

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