Lenorah A Wos, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

45131 Issued in AZ

Practice address

200 W Hospital Drive
Whiteriver, AZ 85941

Phone

(928) 338-4911

Fax

(928) 338-5508

NPI assigned

Jun 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Family Practice

Education

University of Arizona College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DHHS IHS Phoenix AreaGroup PAC ID 2668649567, 72 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Whiteriver PHS Indian Hospital Hospital, Whiteriver, AZ, CCN 030113

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• DHHS IHS Phoenix Area

  dba Whiteriver Indian Hospital

  • General Acute Care Hospital
  • Whiteriver, AZ
  • NPI 1427335140

  TX

  Medicare reassignment Care Compare group NPD
• DHHS IHS Phoenix Area

  dba Cibecue Health Center

  • Clinic/Center
  • Cibecue, AZ
  • NPI 1427335181
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DHHS IHS Phoenix Area

  dba Whiteriver Indian Hospital

  • General Acute Care Hospital
  • Whiteriver, AZ
  • NPI 1427335140
  Care Compare affiliation
• DHHS IHS Phoenix Area

  dba Cibecue Health Center

  • Clinic/Center
  • Cibecue, AZ
  • NPI 1427335181

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1639339005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "859410860",
            "telephone_number": "928-338-4911",
            "fax_number": "928-338-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W HOSPITAL DRIVE",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "85941",
            "telephone_number": "928-338-4911",
            "fax_number": "928-338-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOS",
        "first_name": "LENORAH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "45131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "846916",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WHITERIVER SU",
            "identifier": "HSZ2958RBU",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020561",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBQ CLINIC",
            "identifier": "HSZ958RBV",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whiteriver Unified School District No. 20
• Katherine Whitney, RN, MSN, CPNP
• Steven Joe Williams, RN, CDE
• Brian Witmer
• Larissa Worster, PHARMD
• Robert J Wylie, MD
• Kathleen Wynn, RN
• David Alan Yost, M.D.
• John Zacher, LISAC
• James Edward Zelichowski, DPM

• Family Medicine Physician in Whiteriver, AZ
• Providers in Whiteriver, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.