MEDICARE: JON H WHISLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	8042	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	76876	OTHER	AZ	HUMANA
2	4022692	OTHER	AZ	AETNA
3	21111	OTHER	AZ	UNITED HEALTHCARE
4	AZ0740930	OTHER	AZ	BLUE CROSS & BLUE SHIELD
5	1877512	OTHER	AZ	CIGNA
6	1Z9201	OTHER	AZ	HEALTH NET
7	378534900	OTHER	OH	OHIO BOARD OF WORKMEN'S C

General Provider Information

NPI Number	:	1043215684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JON H WHISLER MD

Provider Business Mailing Address
First Line	:	2222 E HIGHLAND AVE
Second Line	:	STE 300
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4872
Country	:	US
Telephone Number	:	602-277-6211
Fax Number	:	866-846-8709

Provider Business Practice Location Address
First Line	:	2222 E HIGHLAND AVE
Second Line	:	STE 300
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4872
Country	:	US
Telephone Number	:	602-277-6211
Fax Number	:	866-846-8709

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	06/25/2008

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Directions to “ JON H WHISLER MD” Practice Location

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