BANNER UMC DPEC (NPI# 1356790158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356790158 |
Entity Type | Organization |
Organization Name | BANNER UMC DPEC |
Practice Address |
3950 S Country Club Road Suite 130 Tucson AZ 85714 |
Mailing Address |
3950 S Country Club Road 130 Tucson AZ 85714 |
Practice Telephone | 5208742000 |
Practice Fax Number | 5208744801 |
Mailing Telephone | 5208742000 |
Mailing Fax Number | 5208744801 |
Enumeration Date | 2016-06-13 |
Last Update Date | 2016-06-13 |
Authorized Official Name | MERRI PENDERGRASS (PHYSICIAN) |
Authorized Official Telephone | 5206266376 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
942958258 | AZ | Dietary & Nutritional Service Providers |
Street Address |
3950 S COUNTRY CLUB ROAD SUITE 130 |
City | TUCSON |
State | AZ |
Zip Code | 85714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093270035 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 101 W Irvington Rd Bldg # 10, Tucson, AZ 85714 | 2019-02-04 |
1558868422 | Southern Arizona Urgent Care, LLC | Clinic/Center | 1218 W. Irvington Rd., Ste. 150, Tucson, AZ 85714 | 2018-04-09 |
1629525415 | Kayla Iwahashi | Physician Assistant | 2900 E Milber St, Tucson, AZ 85714 | 2016-09-08 |
1811305634 | Johannes Kieding | Social Worker | 3939 S Park Ave Ste 150, Tucson, AZ 85714 | 2014-07-24 |
1982962221 | Orthomed, LLC | Clinic/Center | 1010 E. Palmdale St, Suite 130, Tucson, AZ 85714 | 2012-04-24 |
1588952089 | Crisis Response Network of Southern Arizona, Inc. | Community/Behavioral Health | 2802 East District Street, Tucson, AZ 85714 | 2011-07-18 |
1780904805 | Ana E Araiza Rojas | Dietitian, Registered | 3939 S. Park Ave, Suite 150 Cmg Southwest, Tucson, AZ 85714 | 2010-06-11 |
1710117668 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1210 E Pennsylvania St, Tucson, AZ 85714 | 2009-07-24 |
1639319049 | Ronnie C William | Internal Medicine | 3950 South Country Club Road, Ste 200, Tucson, AZ 85714 | 2009-02-25 |
1518121789 | Yesenia Dicochea | Assisted Living Facility | 424 E President, Tucson, AZ 85714 | 2008-07-16 |
Find all providers in zip 85714 |
Taxonomy Code | 133NN1002X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Nutritionist |
Specialization | Nutrition, Education |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164029385 | Charlotte Marie Mcintyre | Nutritionist | 1000 E Water St Apt 7, Tucson, AZ 85719-3075 | 2020-10-01 |
1881219707 | Gabrielle Hungate | Nutritionist | 10754 N Chapin Ct, Tucson, AZ 85737-6634 | 2020-06-16 |
1427593391 | Martha Imelda Huizar | Nutritionist | 2214 E Vera Cruz Vis, Tucson, AZ 85713-5199 | 2016-12-30 |
1629238589 | World Integrated Systems In Health, LLC | Nutritionist | 4627 N 1st Ave, Suite #2, Tucson, AZ 85718-8606 | 2008-06-13 |
1295226926 | Archer Bodyworks LLC | Nutritionist | 4625 E Broadway Blvd Ste 114, Tucson, AZ 85711-3575 | 2018-05-29 |
1619219631 | Eastside Nutrition LLC | Nutritionist | 333 N Wilmot Rd, Suite 340, Tucson, AZ 85711-2631 | 2013-03-18 |
1558665398 | Armando Valdez De Guzman | Nutritionist | 9420 E Golf Links Rd, Suite 108-296, Tucson, AZ 85730-1355 | 2011-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538780598 | Penny Jean Stadick | Nutritionist | 20259 N Ryans Trl, Maricopa, AZ 85138-2446 | 2020-04-30 |
1275099020 | David Medansky | Nutritionist | 11980 W Shifting Sands Dr, Peoria, AZ 85383-2623 | 2019-02-18 |
1306345780 | Christine Inez Cintron | Nutritionist | 9231 E Carol Ave, Mesa, AZ 85208-2497 | 2018-02-12 |
1285143115 | Charles Higgins Jr. | Nutritionist | 600 N 4th St Apt 272, Phoenix, AZ 85004-4485 | 2017-09-22 |
1326568486 | Damian Dube | Nutritionist | 1503 N Rockwell St, Gilbert, AZ 85234-1436 | 2017-06-20 |
1639622434 | Jenny Woelk | Nutritionist | 2757 S Pewter Dr, 102, Gilbert, AZ 85295-1282 | 2016-07-27 |
1053783829 | Debra L Mcdaniel-perez | Nutritionist | 28784 E Aster Ln, Marana, AZ 85658-9223 | 2015-10-20 |
1114301967 | Peggy Gomez | Nutritionist | 15251 N 45th Pl, Phoenix, AZ 85032-4840 | 2015-07-10 |
1790190155 | Rustom Ali | Nutritionist | 1968 Mesquite Ave, Lake Havasu City, AZ 86403-5729 | 2014-06-24 |
1669883641 | Fredrick Grundy | Nutritionist | 6024 N Laguna Dr, Litchfield Park, AZ 85340-7339 | 2014-05-13 |
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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.