Thomas Willim, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1559 Issued in AZ

Practice address

16733 E Palisades Blvd Ste 106
Fountain Hills, AZ 85268-8322

Phone

(809) 992-5594

NPI assigned

Oct 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Tom Willim, PA-C PLLC

  • Allergy Physician
  • Chandler, AZ
  • NPI 1043098783
  Medicare reassignment Authorized official
• Lifecare Chiropractic Inc

  • Chiropractor
  • Mesa, AZ
  • NPI 1306082466
  Medicare reassignment
• Premier Medical Group, LLC

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1467534487
  Medicare reassignment

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1295987923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16122 E GLENEAGLE DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683111",
            "telephone_number": "602-717-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16733 E PALISADES BLVD STE 106",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688322",
            "telephone_number": "809-992-5594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 S Stearman Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852865042",
            "country_code": "US",
            "telephone_number": "480-999-2559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1780 N State Route 89",
            "address_purpose": "LOCATION",
            "city": "Chino Valley",
            "state": "AZ",
            "postal_code": "863235695",
            "country_code": "US",
            "telephone_number": "480-999-2559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIM",
        "first_name": "THOMAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-13",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "1559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaylie Danielle Wight-Crask, M.S. CF-SLP
• Jennifer Gail Wiley, MS
• Karen Will
• Tanya Williams
• Shawna Elisa Williamson
• Audrey Willis, PSYD
• Leanna Katherine Wilson
• Noah Windscheffel
• Aneyah Rene' Winston
• Paige Brianne Wisneski, CF-SLP

• Medical Physician Assistant in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.

Verify at the official NPI Registry.