Western Mountain Medical Center, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WESTERN MOUNTAIN MEDICAL CENTER, PC

Practice address

3015 Highway 95
Suite 107 B
Bullhead City, AZ 86442-4334

Phone

(928) 763-0433

Fax

(928) 763-0839

NPI assigned

May 20, 2006

Last updated

Dec 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nabila Aslam, MDNPI 1922089127

Title

Owner

Phone

(928) 763-0433

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nabila Aslam, M.D.

  • Internal Medicine Physician
  • Bullhead City, AZ
  • NPI 1922089127
  Medicare reassignment Authorized official
• Joshua Luke Adams, PA-C

  • Physician Assistant
  • Mesa, AZ
  • NPI 1033734686
  Medicare reassignment
• Robin Hayden, PA-C

  • Medical Physician Assistant
  • Scottsdale, AZ
  • NPI 1093119281
  Medicare reassignment
• Shawncey McPherson, PA-C

  • Physician Assistant
  • Chino Valley, AZ
  • NPI 1831546043
  Medicare reassignment

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1538113808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 HIGHWAY 95",
            "address_2": "SUITE 107 B",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864424334",
            "telephone_number": "928-763-0433",
            "fax_number": "928-763-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 HIGHWAY 95",
            "address_2": "SUITE 107 B",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864424334",
            "telephone_number": "928-763-0433",
            "fax_number": "928-763-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MOUNTAIN MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "ASLAM",
        "authorized_official_first_name": "NABILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-763-0433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "746208",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westcare Arizona I, Inc.
• Westcare Arizona I, Inc. (Sage House)
• Western Arizona Regional Home Health and Hospice, LLC (Mohave Home Health)
• Western Medical Eye Center
• Western Medical Eye Center, LLC
• Stephen Vinh Whipp, MD
• Mark William White, DDS
• Kathleen Louise Whitehead, LPC
• Wide Open MRI of Bullhead City LLC
• Wild West Kids Dental Bullhead (Kids Little Smiles)

• Internal Medicine Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.