Western Med Group LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

WESTERN MED GROUP LLC

Practice address

6859 E Rembrandt Ave Ste 101
Mesa, AZ 85212-3629

Phone

(602) 354-5310

NPI assigned

Sep 7, 2021

Organization subpart

Yes

Parent organization

WESTERN MED GROUP LLCAs reported in NPPES

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

Authorized official

Name

Dr. Thomas Moshiri, MD

Title

Manager

Phone

(602) 441-3573

Specialties & licenses 5

Addresses

Part of

Western Med Group LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Western Med Group LLC

  • Interventional Pain Medicine Physician
  • Peoria, AZ
  • NPI 1831781574
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Ahner, PA

  • Physician Assistant
  • Sun City West, AZ
  • NPI 1497957450
  NPD
• Taylor Shin

  • Physician Assistant
  • Gilbert, AZ
  • NPI 1427718766
  NPD
• Katherine Gaitan, PA-C

  • Medical Physician Assistant
  • Punta Gorda, FL
  • NPI 1609327741
  NPD
• Justin Thompson, D.C

  • Chiropractor
  • Anthem, AZ
  • NPI 1851797179
  NPD (past)

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1649949322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD STE 1630-606",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504242",
            "telephone_number": "602-354-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6859 E REMBRANDT AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123629",
            "telephone_number": "602-354-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MED GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN MED GROUP LLC",
        "enumeration_date": "2021-09-07",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "MOSHIRI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-441-3573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy J West, DO
• Churice Westbrook
• Richard C Westergard, DDS
• Western Dental of Arizona, Inc.
• Western Dental Services, Inc.
• Western Medicine, Inc.
• Western Vascular Institute PLLC
• Western Vascular Institute PLLC
• Kim Chyrene Weston, RN
• Michael Todd Westover, LMT

• Interventional Pain Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.