Provider Demographics
NPI:1043215684
Name:WHISLER, JON H (MD)
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:H
Last Name:WHISLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2222 E HIGHLAND AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4872
Mailing Address - Country:US
Mailing Address - Phone:602-277-6211
Mailing Address - Fax:866-846-8709
Practice Address - Street 1:2222 E HIGHLAND AVE
Practice Address - Street 2:STE 300
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4872
Practice Address - Country:US
Practice Address - Phone:602-277-6211
Practice Address - Fax:866-846-8709
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ8042207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ76876OtherHUMANA
AZ4022692OtherAETNA
AZ21111OtherUNITED HEALTHCARE
AZAZ0740930OtherBLUE CROSS & BLUE SHIELD
AZ1877512OtherCIGNA
AZ1Z9201OtherHEALTH NET
OH378534900OtherOHIO BOARD OF WORKMEN'S C
Z105628Medicare PIN
AZ4022692OtherAETNA