Active NPI
Judea P. Wiggins, MD
- Vascular Neurology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 72441
- Practice address
- 2910 N 3Rd Ave # 470
Phoenix, AZ 85013-4434 - Phone
- (602) 406-6262
- Fax
- (602) 406-6261
- NPI assigned
- Mar 20, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 13274772-1205 | UT | |
| Vascular Neurology Physician | 2084V0102X | 13274772-1205 | UT | |
| Vascular Neurology Physician | 2084V0102X | 72441 | AZ | Primary |
Addresses
Primary practice location
2910 N 3Rd Ave # 470
Phoenix, AZ 85013-4434
Mailing address
240 W Thomas Rd Ste 301
Phoenix, AZ 85013-4407
Phone (602) 406-6262
Other practice location 1
175 N Medical Dr
Salt Lake City, UT 84112-1103
Phone (801) 581-2121
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of New Mexico School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 W Thomas Rd
680 DHMG St Joseph's Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72441 | AZ | MD | Vascular Neurology Physician |
| 13274772-1205 | UT | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winslow Memorial Hospital Inc | Current | Accepting new patients | |
| St. Joseph's Outpatient Surgery Center, LLC | Current | Accepting new patients | |
| Sjhmc Physician Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| St. Joseph's Hospital and Medical Center | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017
2910 N 3rd Ave
Ste 470
Phoenix, AZ 85013
Phone (602) 406-6262
240 W Thomas Rd
Ste 301
Phoenix, AZ 85013
Phone (602) 406-6262
2910 N 3rd Ave
Ste 430
Phoenix, AZ 85013
Phone (602) 406-7421
240 W Thomas Rd
#301
Phoenix, AZ 85013
Phone (602) 406-6262
2910 N 3rd Ave
#470
Phoenix, AZ 85013
Phone (602) 406-6262
File 56765
Los Angeles, CA 90074
127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478
175 N Medical Dr
Slc, UT 84112
Phone (801) 581-6908
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Organizations & group practices 8
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.
-
dba St. Joseph's Faculty Physicians
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
dba Little Colorado Medical Center
- Critical Access Hospital
- Winslow, AZ
- NPI 1477653889
-
dba SJHMC Trauma Services
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
-
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
- NPI 1306843222
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
dba University of Utah Hospital Noninvasive Vascular Lab
- Vascular & Interventional Radiology Physician
- Salt Lake City, UT
- NPI 1457755258
-
dba University of Utah Hospital Radiology Department
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
dba St. Joseph's Hospital and Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Josephs Hospital and Medical Center Emergency Dept-Litchfield Park
- Emergency Care Clinic/Center
- Litchfield Park, AZ
- NPI 1265065445
Hospital
-
dba St. Josephs Hospital and Medical Center Emergency Dept-Glendale
- Emergency Care Clinic/Center
- Glendale, AZ
- NPI 1609408665
Hospital
-
dba St. Joseph's Hospital and Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
dba St. Joseph's Westgate Medical Center
- General Acute Care Hospital
- Glendale, AZ
- NPI 1992131734
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1225598832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W THOMAS RD STE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134407",
"telephone_number": "602-406-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 N 3RD AVE # 470",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134434",
"telephone_number": "602-406-6262",
"fax_number": "602-406-6261"
}
],
"practiceLocations": [
{
"address_1": "175 N Medical Dr",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841121103",
"country_code": "US",
"telephone_number": "801-581-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIGGINS",
"first_name": "JUDEA",
"middle_name": "P.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "UT",
"license": "13274772-1205",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "UT",
"license": "13274772-1205",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "AZ",
"license": "72441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.