| Western Med Group Llc | |
|
3624 W Anthem Way Ste C108, Anthem, AZ 85086-0457 | |
| (602) 441-3573 | |
| Not Available |
| Full Name | Western Med Group Llc |
|---|---|
| Type | Facility |
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 3624 W Anthem Way Ste C108, Anthem, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043989726 | NPI | - | NPPES |
| Provider Name | Michael R Voisin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619059128 PECOS PAC ID: 7416932678 Enrollment ID: I20040622000404 |
| Provider Name | Eric J Church |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366419269 PECOS PAC ID: 2567440126 Enrollment ID: I20040709001125 |
| Provider Name | Terry L Eldridge |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932164159 PECOS PAC ID: 3274594783 Enrollment ID: I20041020000640 |
| Provider Name | Patrick J Domanico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710966767 PECOS PAC ID: 3577581768 Enrollment ID: I20051107000130 |
| Provider Name | Thomas M Moshiri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487628442 PECOS PAC ID: 2466471834 Enrollment ID: I20060731000134 |
| Provider Name | Ryan D Schulze |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902968639 PECOS PAC ID: 4183729684 Enrollment ID: I20070411000332 |
| Provider Name | Tory L Mcjunkin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093850323 PECOS PAC ID: 4385730597 Enrollment ID: I20071019000133 |
| Provider Name | Tyler G Church |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487837159 PECOS PAC ID: 9739252503 Enrollment ID: I20080728000124 |
| Provider Name | Jason R Jensen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871715367 PECOS PAC ID: 5799839205 Enrollment ID: I20100925000373 |
| Provider Name | Michael Vincent Healey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861471005 PECOS PAC ID: 4385808740 Enrollment ID: I20120618000107 |
| Provider Name | Alicia L Myers |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205124369 PECOS PAC ID: 6204092729 Enrollment ID: I20120726000634 |
| Provider Name | Jennifer Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609289743 PECOS PAC ID: 7113142241 Enrollment ID: I20140704000007 |
| Provider Name | Brandon G Kulp |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912322520 PECOS PAC ID: 5890011316 Enrollment ID: I20150227001370 |
| Provider Name | Warren Malcolm Sloan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053537902 PECOS PAC ID: 3274719786 Enrollment ID: I20160629001820 |
| Provider Name | Kory G Thurman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972052074 PECOS PAC ID: 1557640257 Enrollment ID: I20161121002469 |
| Provider Name | Tara K Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962860999 PECOS PAC ID: 5092007740 Enrollment ID: I20161208002033 |
| Provider Name | Grady Swick |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720530652 PECOS PAC ID: 0446524003 Enrollment ID: I20170920001095 |
| Provider Name | Ashley Marie Warner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639643612 PECOS PAC ID: 9133468879 Enrollment ID: I20190225001937 |
| Provider Name | Adrienne L Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952932568 PECOS PAC ID: 4284062860 Enrollment ID: I20200313000124 |
| Provider Name | Aldijana Bjelobrkovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003431974 PECOS PAC ID: 4385067677 Enrollment ID: I20200703000055 |
| Provider Name | Paul G Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346866886 PECOS PAC ID: 1557781051 Enrollment ID: I20201022002171 |
| Provider Name | Amanda M Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770196271 PECOS PAC ID: 4789089343 Enrollment ID: I20210819000860 |
| Provider Name | Caitlyn Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508482191 PECOS PAC ID: 8224433792 Enrollment ID: I20210820002160 |
| Mailing Address | Practice Location Address |
|---|---|
| Western Med Group Llc 21001 N Tatum Blvd Ste 1630-606, Phoenix, AZ 85050-4242 Ph: (602) 354-5310 | Western Med Group Llc 3624 W Anthem Way Ste C108, Anthem, AZ 85086-0457 Ph: (602) 441-3573 |