Active NPI
Tom Willim, PA-C PLLC
- Allergy Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- Legal business name
- TOM WILLIM, PA-C PLLC
- Practice address
- 2425 S Stearman Dr Ste 210
Chandler, AZ 85286-5042 - Phone
- (480) 999-2559
- NPI assigned
- Sep 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Willim, PA-C
- Title
- Owner
- Phone
- (480) 999-2559
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | Primary |
Addresses
Primary practice location
2425 S Stearman Dr Ste 210
Chandler, AZ 85286-5042
Mailing address
16122 E Gleneagle Dr
Fountain Hills, AZ 85268-3111
Phone (602) 717-1954
Other practice location 1
16733 E Palisades Blvd Ste 106
Fountain Hills, AZ 85268-8322
Phone (480) 999-2559
Other practice location 2
1780 N State Route 89
Chino Valley, AZ 86323-5695
Phone (480) 999-2559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2425 S Stearman Dr
Ste 210
Chandler, AZ 85286
Phone (480) 999-2559
16733 E Palisades Blvd
Ste 106
Fountain Hls, AZ 85268
Phone (480) 999-2559
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Fountain Hills, AZ
- NPI 1295987923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701302400000",
"number": "1043098783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16122 E GLENEAGLE DR",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852683111",
"telephone_number": "602-717-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 S STEARMAN DR STE 210",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852865042",
"telephone_number": "480-999-2559"
}
],
"practiceLocations": [
{
"address_1": "16733 E Palisades Blvd Ste 106",
"address_purpose": "LOCATION",
"city": "Fountain Hills",
"state": "AZ",
"postal_code": "852688322",
"country_code": "US",
"telephone_number": "480-999-2559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1780 N State Route 89",
"address_purpose": "LOCATION",
"city": "Chino Valley",
"state": "AZ",
"postal_code": "863235695",
"country_code": "US",
"telephone_number": "480-999-2559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TOM WILLIM, PA-C PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-14",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A",
"authorized_official_last_name": "WILLIM",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-999-2559",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.