Individual provider Active NPI

Marijo L Wienkers, MD

  • Anesthesiology Physician
  • Fountain Hills, AZ
National Provider Identifier
1225298466
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
64251 Issued in AZ
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

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121105000704 WA Practitioner - AnesthesiologyPractitioner - Pain Management 0042461733 Reassigns benefits to 2 organizations
I20220923002813 AZ Practitioner - Anesthesiology 0042461733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Partners of Arizona LLCGroup PAC ID 8628317179, 85 clinicians

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

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington Family Medicine CurrentSince Aug 28, 2012 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 28, 2012 Accepting new patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince Sep 1, 2022 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.

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

Verify at the official NPI Registry.