Westside Internal Medicine Group PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WESTSIDE INTERNAL MEDICINE GROUP PLLC

Practice address

395 N Silverbell Rd Ste 107
Tucson, AZ 85745-2718

Phone

(520) 884-0752

Fax

(520) 622-9845

NPI assigned

Dec 10, 2010

Last updated

Nov 6, 2022By 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. Stanley Ofori, MDNPI 1093793648

Title

Medical Director

Phone

(520) 907-1055

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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.

• Stanley Ofori, MD

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1093793648
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667692800000",
    "number": "1669775789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 N COBBLESTONE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181307",
            "telephone_number": "520-907-1055",
            "fax_number": "520-622-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N SILVERBELL RD STE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452718",
            "telephone_number": "520-884-0752",
            "fax_number": "520-622-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE INTERNAL MEDICINE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A",
        "authorized_official_last_name": "OFORI",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "520-907-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "957417",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093793648",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis C Westin, M.D.
• Julie L Westin, MSC, NCC, LPC
• Jeffrey Thomas Westling
• Reginald D. Westmacott, M.D.
• Reginald Dean Westmacott Jr., OTR/L
• Ralph Higgins Wetmore II, PH.D.
• Parker Anthony Wetz
• Ryan Wexelblatt, LCSW
• Michael Wexler, DDS
• Alison Weygint

• Primary Care Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2022; 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.