Provider Demographics
NPI:1023141264
Name:WESTERN NEUROSURGERY, LTD.
Entity type:Organization
Organization Name:WESTERN NEUROSURGERY, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:GOLDFARB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-881-8400
Mailing Address - Street 1:6567 E CARONDELET DR STE 305
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-2156
Mailing Address - Country:US
Mailing Address - Phone:520-881-8400
Mailing Address - Fax:
Practice Address - Street 1:6567 E CARONDELET DR STE 305
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-2156
Practice Address - Country:US
Practice Address - Phone:520-881-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1588644355Medicare ID - Type UnspecifiedWILLIAM B. LUJAN, M.D.
AZ1285614065Medicare ID - Type UnspecifiedMICHELLE TIANO, PA-C
AZ1275513038Medicare ID - Type UnspecifiedERIC SIPOS, M.D.
AZ1225018096Medicare ID - Type UnspecifiedMATTHEW P. WILSON, M.D.
AZ1871573493Medicare ID - Type UnspecifiedDIANA V. BENENATI, M.D.
AZ146432237Medicare ID - Type UnspecifiedL. RODERICK ANDERSON, M.D
AZ1578543187Medicare ID - Type UnspecifiedHILLEL Z BALDWIN, M.D.
AZ1609856475Medicare ID - Type UnspecifiedJOSEPH A. CHRISTIANO, M.D
AZ1225018559Medicare ID - Type UnspecifiedDAVID R SIEGEL, M.D.
AZWCHHFMedicare ID - Type UnspecifiedMEDICARE ID#
AZ1356321954Medicare ID - Type UnspecifiedROBERT P. GOLDFARB, M.D.