BANNER PHYSICIAN SPECIALISTS ARIZONA LLC (NPI# 1316228802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316228802 |
| Entity Type | Organization |
| Organization Name | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC |
| Practice Address |
37100 N Gantzel Rd Ste 107 San Tan Valley AZ 85140-7349 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 4803944480 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-31 |
| Authorized Official Name | DENNIS E DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366799355 | Banner Physician Specialists Arizona LLC | Clinic/Center | 601 N Navajo, Page, AZ 86040 | 2012-08-08 |
| 1033730429 | Banner Physician Specialists Arizona LLC | Clinic/Center | 501 N Navajo Dr, Page, AZ 86040-0959 | 2020-04-27 |
| 1750929949 | Banner Physician Specialists Arizona LLC | Clinic/Center | 9165 W Thunderbird Rd, Peoria, AZ 85381-4847 | 2019-12-18 |
| 1801160569 | Banner Physician Specialists Arizona LLC | Durable Medical Equipment & Medical Supplies | 9305 W Thomas Rd, Ste 405, Phoenix, AZ 85037-3328 | 2012-02-28 |
| 1821368218 | Banner Physician Specialists Arizona LLC | Clinic/Center | 10150 N 67th Ave, Ste 101, Glendale, AZ 85302-1004 | 2012-01-03 |
| 1275802829 | Banner Physician Specialists Arizona LLC | Durable Medical Equipment & Medical Supplies | 13760 N 93rd Ave, Peoria, AZ 85381-4201 | 2011-12-27 |
| 1679842223 | Banner Physician Specialists Arizona LLC | Durable Medical Equipment & Medical Supplies | 14420 W Meeker Blvd, Ste 104, Sun City West, AZ 85375-5286 | 2011-12-27 |
| 1588933139 | Banner Physician Specialists Arizona LLC | Durable Medical Equipment & Medical Supplies | 9165 W Thunderbird Rd, Peoria, AZ 85381-4847 | 2011-12-27 |
| 1548538069 | Banner Physician Specialists Arizona LLC | Durable Medical Equipment & Medical Supplies | 14416 W Meeker Blvd, Sun City West, AZ 85375-5284 | 2011-12-12 |
| 1992073498 | Banner Physician Specialists Arizona LLC | Durable Medical Equipment & Medical Supplies | 13640 N Plaza Del Rio Blvd, Ste 120, Peoria, AZ 85381-4846 | 2011-12-12 |
| Street Address |
37100 N GANTZEL RD STE 107 |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip Code | 85140-7349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871555250 | Natasha E. Laird | Obstetrics & Gynecology | 37100 N Gantzel Rd, Ste 106, San Tan Valley, AZ 85140-7303 | 2006-04-03 |
| 1093110041 | Christina Joyave | Nurse Practitioner | 37100 N Gantzel Rd, San Tan Valley, AZ 85140-7349 | 2014-11-01 |
| 1255771101 | Jenna M Sander | Advanced Practice Midwife | 37100 N Gantzel Rd, Suite #106, San Tan Valley, AZ 85140-7349 | 2013-06-25 |
| 1396014403 | Banner Physician Super Specialists Arizona LLC | Clinic/Center | 37100 N Gantzel Rd, Ste 113, San Tan Valley, AZ 85140-7349 | 2011-12-19 |
| 1114201290 | O.serrano, M.d. Pllc | Internal Medicine | 37100 N Gantzel Rd, San Tan Valley, AZ 85140-7349 | 2011-10-06 |
| 1992933550 | Douglas Mark Weber | Obstetrics & Gynecology | 37100 N Gantzel Rd, Suite 106, San Tan Valley, AZ 85140-7349 | 2009-06-22 |
| 1568621795 | Dorin T. Popa | Family Medicine | 37100 N Gantzel Rd, Suite # 202, San Tan Valley, AZ 85140-7349 | 2008-06-03 |
| 1407062417 | Dyanne M Tappin | Obstetrics & Gynecology | 37100 N Gantzel Rd, Suite 106, San Tan Valley, AZ 85140-7349 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801429634 | Bhsm Rehabilitation, LLC | Clinic/Center | 37200 North Gantzel Road, Suite 260, Queen Creek, AZ 85140 | 2020-02-20 |
| 1801455712 | Jose Enrique Knox | Specialist/Technologist, Other | 36018 North Secret Garden Path, Queen Creek, AZ 85140 | 2019-06-13 |
| 1629546171 | San Tan Valley Oral Facial and Implant Surgery Pllc | Oral & Maxillofacial Surgery | 36327 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 | 2018-11-02 |
| 1780164582 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 40950 N Ironwood Dr, Queen Creek, AZ 85140 | 2018-08-21 |
| 1497249452 | San Tan Primary Care PC | Family Medicine | 36283 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 | 2018-06-21 |
| 1306386115 | Veronica Gonzalez | Licensed Practical Nurse | 733 E Angeline Ave, Queen Creek, AZ 85140 | 2017-02-27 |
| 1194198697 | Amanda Ellis | Residential Treatment Facility, Physical Disabilities | 381 East Brook Street, San Tan Valley, AZ 85140 | 2015-11-05 |
| 1043688336 | Felicia D Adams | Day Training/Habilitation Specialist | 1074 E. Press Rd, San Tan Valley, AZ 85140 | 2015-09-03 |
| 1376928598 | Amy Burks | Physical Therapy Assistant | 1479 E Oak Rd, San Tan Valley, AZ 85140 | 2015-07-29 |
| 1316367121 | Shanaya Suchak | Internal Medicine | 37000 N Gantzel Road, Attn: Hospitalists, San Tan Valley, AZ 85140 | 2014-04-19 |
| Find all providers in zip 85140 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760857429 | Banner -- University Hospital Based Physicians LLC | Clinic/Center | 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 | 2015-12-07 |
| 1275889891 | Banner Hospital Based Physicians Arizona LLC | Clinic/Center | 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 | 2012-08-01 |
| 1396014403 | Banner Physician Super Specialists Arizona LLC | Clinic/Center | 37100 N Gantzel Rd, Ste 113, San Tan Valley, AZ 85140-7349 | 2011-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254918 | Assyrian Family Health Alliance | Clinic/Center | 10210 N 32nd St Ste C6, Phoenix, AZ 85028-3826 | 2020-10-26 |
| 1659970242 | Orthopedic Specialists of North America Pllc | Clinic/Center | 33300 N 32nd Ave, Phoenix, AZ 85085-8877 | 2020-10-23 |
| 1689273542 | Orthopedic Specialists of North America Pllc | Clinic/Center | 33400 N 32nd Ave Fl 1, Phoenix, AZ 85085-8876 | 2020-10-21 |
| 1629676317 | Bethel Hills Integrated Healthcare | Clinic/Center | 13838 S 46th Pl Ste 300, Phoenix, AZ 85044-7804 | 2020-10-14 |
| 1639786585 | Crossover Health Medical Group | Clinic/Center | 1847 E Southern Ave Ste 3, Tempe, AZ 85282-5881 | 2020-09-24 |
| 1821605775 | Crossover Health Medical Group | Clinic/Center | 5251 W Campbell Ave Ste 200, Phoenix, AZ 85031-1719 | 2020-09-24 |
| 1649887597 | Crossover Health Medical Group | Clinic/Center | 8343 W Van Buren St Bldg C-2, Tolleson, AZ 85353-3225 | 2020-09-24 |
| 1235745464 | Vasco Healthcare Inc | Clinic/Center | 2110 W 24th St Ste A, Yuma, AZ 85364-8878 | 2020-09-22 |
| 1265048490 | Vasco Healthcare Inc | Clinic/Center | 8952 E Desert Cove Ave Ste 204, Scottsdale, AZ 85260-6777 | 2020-09-22 |
| 1942816160 | Vasco Healthcare Inc | Clinic/Center | 13026 W Rancho Santa Fe Blvd Ste B100, Avondale, AZ 85392-1712 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | SAN TAN VALLEY |
| Zip Code | 85140 |
Please comment or provide details below to improve the information on BANNER PHYSICIAN SPECIALISTS ARIZONA LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.