White Tank Medical PLLC
NPI 1306549837 · Family Medicine Physician · Surprise, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
White Tank Medical PLLC is a Family Medicine Physician organization in Surprise, AZ (NPI 1306549837).
Provider details
- NPI number
- 1306549837
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Justin Woodside, Owner(623) 583-9180
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-23
- Last updated
- 2023-03-23
- Certified
- 2023-03-23
Frequently asked questions
- What is White Tank Medical PLLC's NPI number?
- White Tank Medical PLLC's National Provider Identifier (NPI) is 1306549837, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is White Tank Medical PLLC?
- White Tank Medical PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is White Tank Medical PLLC located?
- White Tank Medical PLLC's practice location on file with NPPES is 18761 N Reems Rd Ste 400, Surprise, AZ 85374-8646.
- What is White Tank Medical PLLC's phone number?
- The practice phone number listed in the NPPES registry for White Tank Medical PLLC is (623) 583-9180.
- Does White Tank Medical PLLC accept Medicare?
- White Tank Medical PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for White Tank Medical PLLC?
- The authorized official listed on White Tank Medical PLLC's NPPES record is Justin Woodside, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is White Tank Medical PLLC's NPI active?
- Yes — White Tank Medical PLLC's NPI (1306549837) is active in the NPPES registry as of the last update on 2023-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.