Active NPI
Will Vahid Jeffers, D.O.
- Family Medicine Physician
- Peoria, AZ
National Provider Identifier
1710959606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3307
- Practice address
- 8631 W Union Hills Dr
206
Peoria, AZ 85382-7002 - Phone
- (623) 875-7900
- Fax
- (623) 875-7919
- NPI assigned
- Feb 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3307 | AZ | Primary |
Addresses
Primary practice location
8631 W Union Hills Dr
206
Peoria, AZ 85382-7002
Mailing address
9340 W Pontiac Dr
Peoria, AZ 85382-5180
Phone (623) 825-6437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3307 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Physical Medicine & Rehabilitation P C | Past | Accepting new patients | |
| Med 97 LLC | Past | Accepting new patients | |
| Goodyear Urgent Care LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
- NPI 1306959218
-
- Urgent Care Clinic/Center
- Goodyear, AZ
- NPI 1851566285
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1487631883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1710959606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9340 W PONTIAC DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853825180",
"telephone_number": "623-825-6437",
"fax_number": "623-475-5582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8631 W UNION HILLS DR",
"address_2": "206",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853827002",
"telephone_number": "623-875-7900",
"fax_number": "623-875-7919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "WILL",
"middle_name": "VAHID",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "3307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.