Individual provider Active NPI

Tory Lance McJunkin, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Scottsdale, AZ
National Provider Identifier
1093850323
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35497 Issued in AZ
Practice address
9787 N 91St St
Suite 101
Scottsdale, AZ 85258-5088
Phone
(480) 563-6400
Fax
(480) 563-8009
NPI assigned
Feb 21, 2007
Last updated
Jul 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35497 AZ Primary

Addresses

Primary practice location

9787 N 91St St
Suite 101
Scottsdale, AZ 85258-5088

Mailing address

9787 N 91St St
Suite 101
Scottsdale, AZ 85258-5088
Phone (480) 563-6400

Other identifiers 2

IdentifierTypeStateIssuer
P00425651OtherAZRAILROAD MEDICARE
229728MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071019000133 AZ Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 4385730597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11220 N Tatum Blvd
Suite 103
Phoenix, AZ 85028-1629
Phone (480) 757-8777

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hayden Surgical Center LLC CurrentSince Jun 22, 2022 Accepting new patients
Bladder Centers of America CurrentSince Jul 9, 2022 Accepting new patients

Locations

11220 N Tatum Blvd
Ste 103
Phoenix, AZ 85028
Phone (480) 757-8777

10611 N Hayden Rd
Ste 102D
Scottsdale, AZ 85260
Phone (480) 307-8258

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1093850323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9787 N 91ST ST",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585088",
            "telephone_number": "480-563-6400",
            "fax_number": "480-563-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9787 N 91ST ST",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585088",
            "telephone_number": "480-563-6400",
            "fax_number": "480-563-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCJUNKIN",
        "first_name": "TORY",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "35497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00425651",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229728",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.