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Anthem Physical Medicine LLC

NPI 1700251071ActiveOrganization· General Practice· Anthem, AZ

General Practice in Anthem, Arizona, registered in NPPES in December 2015. The authorized official on file is Justin Thompson, Owner.

Overview

NPI1700251071
StatusActive
Entity typeOrganization
NPI issuedDec 11, 2015
Last updated in NPPESOct 8, 2020
Certified by providerOct 8, 2020

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years