BANNER --UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC (NPI# 1649668450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649668450 |
| Entity Type | Organization |
| Organization Name | BANNER --UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC |
| Practice Address |
1501 N Campbell Ave Tucson AZ 85724-0001 |
| Mailing Address |
2901 N Central Ave Phoenix AZ 85012-2700 |
| Practice Telephone | 5206946501 |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2016-06-27 |
| 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 | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265820179 | Banner --university Medical Center Tucson Campus LLC | General Acute Care Hospital | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2014-12-30 |
| Street Address |
1501 N CAMPBELL AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85724-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631481 | Rebecca Adele Millius | Family Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-5085 | 2005-07-01 |
| 1730707373 | Ilaria Vittoria De Martini | Radiology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-07-09 |
| 1427671239 | Rinku Skaria | Student in an Organized Health Care Education/Training Program | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-27 |
| 1801419452 | Kevin Joseph Moynahan | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-18 |
| 1912529710 | Jared Holley | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-14 |
| 1558983502 | Jon Hyrum Neilson II | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-13 |
| 1588286819 | Alexander Michael Mckitrick | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-08 |
| 1003437575 | Ashley Azizi Assadi | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-06 |
| 1003437872 | Mohammed Abbas | Orthopaedic Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-02 |
| 1578184420 | Savannah Nicole Davis | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568025617 | Caronae Howell | Surgery | University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 | 2019-04-15 |
| 1881183143 | Bradley Bohman | Internal Medicine | 1501 N. Campbell Ave, Room 6336, Tucson, AZ 85724 | 2018-05-02 |
| 1255780789 | Elly Varma | Internal Medicine | 1501 N Campbell Avenue Com Room 6336, Department of Medicine, Tuscon, AZ 85724 | 2016-06-06 |
| 1295183234 | Elise Vo | Internal Medicine | 1501 N. Campbell- Room 6336, Tucson, AZ 85724 | 2016-06-01 |
| 1730575101 | Colin A. West | Emergency Medicine | Banner University Medical Center Tucson, 1501 N. Campbell Ave., Tucson, AZ 85724 | 2015-04-12 |
| 1023403623 | Laura Elizabeth Bach | Internal Medicine | 1501 N Campbell Ave Rm 6402, Tucson, AZ 85724 | 2015-03-31 |
| 1174939623 | Jawad Bilal | Internal Medicine | 1501 N Campbell Ave Rm 8339, Tucson, AZ 85724 | 2014-07-05 |
| 1447678016 | Kimberly Schmelzle Winsor | Student in an Organized Health Care Education/Training Program | 1501 N, Campbell Ave., Tucson, AZ 85724 | 2014-04-01 |
| 1710299276 | Jeffrey M Rice | Neurological Surgery | 1501 North Campbell Avenue, University of Arizona, Tucson, AZ 85724 | 2010-07-12 |
| 1558698464 | University of Arizona | General Acute Care Hospital | U of A Health Sciences Center - Umc Pediatrics, Campbell Ave, Tucson, AZ 85724 | 2009-11-13 |
| Find all providers in zip 85724 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740711993 | Southwest Kidney-davita Dialysis Partners, LLC | Clinic/Center | 1635 N Swan Rd, Tucson, AZ 85712-4046 | 2017-03-21 |
| 1700277928 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 5555 E 5th St Ste 155, Tucson, AZ 85711-2415 | 2015-02-10 |
| 1619114501 | Rita Ranch Dialysis LLC | Clinic/Center | 7355 S Houghton Rd Ste 101, Tucson, AZ 85747-9380 | 2009-01-14 |
| 1104091743 | Total Renal Care Inc | Clinic/Center | 2901 E Grant Rd, Tucson, AZ 85716-2717 | 2008-04-24 |
| 1649442526 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 2802 S 6th Ave, Tucson, AZ 85713-4703 | 2008-03-31 |
| 1811169790 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 1430 W Valencia Rd Ste 1, Tucson, AZ 85746-6001 | 2008-03-31 |
| 1740476282 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 100 W Grant Rd, Tucson, AZ 85705-5531 | 2007-09-19 |
| 1578780268 | Bio Medical Applications of Arizona LLC | Clinic/Center | 6261 N La Cholla Blvd Ste 181, Tucson, AZ 85741-3563 | 2007-04-20 |
| 1023041407 | Dialysis Clinic Inc. | Clinic/Center | 2022 E Prince Rd, Tucson, AZ 85719-2005 | 2006-07-08 |
| 1871526251 | Dialysis Clinic Inc. | Clinic/Center | 1011 E Pennsylvania St, Tucson, AZ 85714-3310 | 2006-07-08 |
| 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.