Active NPI
Anthony Michael Will, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- AZ3750
- Practice address
- 19389 N 59TH Ave
Glendale, AZ 85308-6500 - Phone
- (623) 537-6000
- Fax
- (623) 537-6014
- NPI assigned
- Sep 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | AZ3750 | AZ | Primary |
| Family Medicine Physician | 207Q00000X | AZ3750 | AZ |
Addresses
Primary practice location
19389 N 59TH Ave
Glendale, AZ 85308-6500
Mailing address
19555 N 59TH Ave
Glendale, AZ 85308-6813
Phone (623) 537-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 756207 | Medicaid | AZ |
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
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14541 W Indian School Rd
Suite 600
Goodyear, AZ 85395-9243
Phone (888) 698-6727
19636 N 27TH Ave
Suite 308
Phoenix, AZ 85027-4020
Phone (623) 780-1999
5620 W Thunderbird Rd
Glendale, AZ 85306-4652
Phone (888) 698-6727
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ3750 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Summit Medical Group Arizona LLC | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
Locations
6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348
5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960
14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
3003 N Central Ave
Ste 1175
Phoenix, AZ 85012
Phone (346) 980-2701
19636 N 27th Ave
Ste 308
Phoenix, AZ 85027
Phone (623) 780-1999
3311 N 44th St
Phoenix, AZ 85018
Phone (480) 882-7360
5316 E Shea Blvd
Ste 100
Scottsdale, AZ 85254
Phone (480) 882-7410
10550 E Desert Hills Dr
Scottsdale, AZ 85262
Phone (480) 265-2140
Interoperability endpoints
- awill444432@direct.honorhealth.com
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1285338343
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1851336432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243900800000",
"number": "1629175104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19555 N 59TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086813",
"telephone_number": "623-537-6000",
"fax_number": "623-537-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19389 N 59TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086500",
"telephone_number": "623-537-6000",
"fax_number": "623-537-6014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILL",
"first_name": "ANTHONY",
"middle_name": "MICHAEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-19",
"last_updated": "2009-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "AZ",
"license": "AZ3750",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "AZ3750",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "756207",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.