Western Med Group LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

WESTERN MED GROUP LLC

Practice address

3624 W Anthem Way Ste C108
Anthem, AZ 85086-0457

Phone

(602) 441-3573

NPI assigned

Sep 7, 2021

Organization subpart

Yes

Parent organization

WESTERN MED GROUP LLCAs reported in NPPES

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

Authorized official

Name

Dr. Thomas Moshiri, MDNPI 1487628442

Title

Manager

Phone

(602) 441-3573

Specialties & licenses 5

Addresses

Part of

Western Med Group LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Western Med Group LLC

  • Interventional Pain Medicine Physician
  • Peoria, AZ
  • NPI 1831781574
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas M Moshiri, MD

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1487628442
  Authorized official Same address or phone

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1043989726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD STE 1630-606",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504242",
            "telephone_number": "602-354-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 W ANTHEM WAY STE C108",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860457",
            "telephone_number": "602-441-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MED GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN MED GROUP LLC",
        "enumeration_date": "2021-09-07",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "MOSHIRI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-441-3573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Patrick Wall, DDS
• Walmart Inc. (Walmart Pharmacy 10-5329)
• Deborah Lynn Wang, R.N.
• Alison Ward, PSY.D.
• Andrew C Wen, L.AC.
• Kenni Danielle Wieskamp
• William D Fishco DPM
• William D Fishco DPM PC
• Aaron H Williams, PT, DPT
• Ben Michael Williams, MD

• Interventional Pain Medicine Physician in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.