BANNER -- UNIVERSITY MEDICAL GROUP (NPI# 1578910485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578910485 |
| Entity Type | Organization |
| Organization Name | BANNER -- UNIVERSITY MEDICAL GROUP |
| Other Organization Name | EPICENTER |
| Practice Address |
535 N Wilmot Rd Tucson AZ 85711-2600 |
| Mailing Address |
2901 N Central Ave Phoenix AZ 85012-2700 |
| Practice Telephone | 5206941234 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | DENNIS DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| EPICenter | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708328 | Banner -- University Medical Group | Clinic/Center | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2020-10-18 |
| 1568818649 | Banner -- University Medical Group | Clinic/Center | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2016-05-09 |
| 1508809427 | Banner -- University Medical Group | Allergy & Immunology | 2901 N Central Ave, Phoenix, AZ 85012-2700 | 2006-06-14 |
| Street Address |
535 N WILMOT RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487626222 | Brent Jon Barber | Pediatrics | 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 | 2006-02-06 |
| 1982234068 | Jeffrey Scott Dixon | Social Worker | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2020-01-17 |
| 1285142638 | Matthew Moffitt | Psychologist | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2018-01-19 |
| 1689189052 | Lisa Ann Rauch | Counselor | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2017-12-07 |
| 1568818649 | Banner -- University Medical Group | Clinic/Center | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2016-05-09 |
| 1760847180 | Carol Watters | Social Worker | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2015-12-30 |
| 1255717773 | Jennie Jacob | Physical Therapist | 535 N Wilmot Rd, Children's Multispecialty Center: Newborn Follow Up, Tucson, AZ 85711-2600 | 2015-08-06 |
| 1871994350 | Terry Eisenberg Carrilio | Social Worker | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2014-09-15 |
| 1912320110 | Allison Nicole Crawford | Nurse Practitioner | 535 N Wilmot Rd, Ste 101, Tucson, AZ 85711 | 2014-01-24 |
| 1629206115 | Victoria Ana Sanguineti | Internal Medicine | 535 N Wilmot Rd, Suite 101, Tucson, AZ 85711-2600 | 2009-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
| Find all providers in zip 85711 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093240020 | Cottonwood Tucson Outpatient Services | Clinic/Center | 4110 W Sweetwater Dr Bldg 16, Tucson, AZ 85745-9348 | 2017-04-27 |
| 1760916407 | Grace Home Assisted Living 1 | Clinic/Center | 2301 S Quail Hollow Dr, Tucson, AZ 85710-7986 | 2017-04-19 |
| 1730534405 | New Horizons Behavioral Health Services Inc | Clinic/Center | 5849 E 5th St, Tucson, AZ 85711-2403 | 2016-04-29 |
| 1205293487 | Neuropco LLC | Clinic/Center | 4061 E Via Del Vireo, Tucson, AZ 85718-3311 | 2016-01-20 |
| 1265806186 | Banner -- University Medicine Crisis Response Center LLC | Clinic/Center | 2802 E District St Fl 1, Tucson, AZ 85714-2081 | 2015-11-16 |
| 1457755183 | Barrabee Therapy LLC | Clinic/Center | 2299 W. Camino San Acacio, Tucson, AZ 85741-3696 | 2014-10-09 |
| 1487984720 | Desert Milagros, LLC | Clinic/Center | 3438 N. Country Club Road, Tucson, AZ 85716-1257 | 2010-01-09 |
| 1588814685 | Valerie M. Kading, Np, P.l.l.c | Clinic/Center | 6969 E Sunrise Dr, Suite 202, Tucson, AZ 85750-0720 | 2008-09-24 |
| 1770742959 | University Physicians Healthcare | Clinic/Center | 2800 E. Ajo Way, Tucson, AZ 85713-3204 | 2008-06-03 |
| 1033319751 | Codac Behavioral Health Services of Pima County, Inc. | Clinic/Center | 721 N 4th Ave, Tucson, AZ 85705-8446 | 2007-07-20 |
| Find all providers in TUCSON | ||||
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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.