Active NPI
Marijo L Wienkers, MD
- Anesthesiology Physician
- Fountain Hills, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 64251
- Practice address
- 15705 E Ocotillo Dr
Fountain Hills, AZ 85268-5318 - Phone
- (575) 649-4527
- NPI assigned
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 64251 | AZ | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD60284902 | WA |
Addresses
Primary practice location
15705 E Ocotillo Dr
Fountain Hills, AZ 85268-5318
Mailing address
15705 E Ocotillo Dr
Fountain Hills, AZ 85268-5318
Phone (575) 649-4527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4605 E Elwood St
Suite 500
Phoenix, AZ 85040-1978
Phone (602) 200-9021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Anesthesia Partners of Arizona LLC | Anesthesiology | Current | Accepting new patients |
Locations
10815 W McDowell Rd
Ste 101
Avondale, AZ 85392
Phone (623) 433-0110
1125 S Alma School Rd
Ste 100
Chandler, AZ 85286
Phone (480) 550-6089
18301 N 79th Ave
Ste E150
Glendale, AZ 85308
Phone (480) 684-7962
5555 W Thunderbird Rd
Ste 150
Glendale, AZ 85306
Phone (602) 588-5475
2626 E University Dr
Mesa, AZ 85213
Phone (602) 354-8847
13260 N 94th Dr
Peoria, AZ 85381
Phone (623) 487-7763
6790 W Thunderbird Rd
Peoria, AZ 85381
Phone (523) 979-1717
13640 N Plaza del Rio Blvd
Ste 135
Peoria, AZ 85381
Phone (602) 424-4050
690 N Cofco Center Ct
Ste B
Phoenix, AZ 85008
Phone (602) 910-6839
1111 E McDowell Rd
Ste B
Phoenix, AZ 85006
Phone (602) 346-0350
20940 N Tatum Blvd
Ste 100
Phoenix, AZ 85050
Phone (480) 253-5660
3525 N Central Ave
Phoenix, AZ 85012
Phone (480) 573-0210
2222 E Highland Ave
Ste 100
Phoenix, AZ 85016
Phone (602) 281-3500
9301 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 213-7407
4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443
8962 E Desert Cove Ave
Scottsdale, AZ 85260
Phone (480) 661-5232
14416 W Meeker Blvd
Ste 103
Sun City West, AZ 85375
Phone (602) 670-1613
1940 E Southern Ave
Tempe, AZ 85282
Phone (480) 292-8541
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Anesthesiology Physician
- Bellevue, WA
- NPI 1356827828
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1225298466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15705 E OCOTILLO DR",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852685318",
"telephone_number": "575-649-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15705 E OCOTILLO DR",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852685318",
"telephone_number": "575-649-4527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIENKERS",
"first_name": "MARIJO",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "64251",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "WA",
"license": "MD60284902",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Hills, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.