BANNER UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVICES (NPI# 1659749901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659749901 |
| Entity Type | Organization |
| Organization Name | BANNER UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVICES |
| Practice Address |
265 W Ina Rd Tucson AZ 85704-6204 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 6028397000 |
| Practice Fax Number | 6028392606 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-10 |
| 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 | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
265 W INA RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85704-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881681393 | Randall A Brown | Internal Medicine | 265 W Ina Rd, Tucson, AZ 85704-6204 | 2005-09-29 |
| 1962018580 | Adrianna Elizabeth Pulver | Physical Therapist | 265 W Ina Rd, Tucson, AZ 85704-6204 | 2020-09-18 |
| 1619598505 | Brandon T Smith | Internal Medicine | 265 W Ina Rd, Tucson, AZ 85704-6204 | 2020-05-01 |
| 1861013096 | Chelsea Takamatsu | Internal Medicine | 265 W Ina Rd, Tucson, AZ 85704-6204 | 2020-04-28 |
| 1578184859 | Rachel Vix Tan | Internal Medicine | 265 W Ina Rd, Tucson, AZ 85704-6204 | 2020-04-28 |
| 1427679844 | Tom Isaac Finkelstein | Internal Medicine | 265 W Ina Rd, Tucson, AZ 85704-6204 | 2020-04-27 |
| 1437770823 | Garrett Thomas Pepich | Internal Medicine | 265 W Ina Rd, Tucson, AZ 85704-6204 | 2020-04-27 |
| 1073134458 | Hanh Ai Han | Internal Medicine | 265 W Ina Rd, Tucson, AZ 85704-6204 | 2020-04-27 |
| 1346861721 | Ulyana Dashkevych | Internal Medicine | 265 W Ina Rd, Tucson, AZ 85704-6204 | 2020-04-27 |
| 1326668021 | Bach-ngan Phan Chau | Internal Medicine | 265 W Ina Rd, Tucson, AZ 85704-6204 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176616 | Kimberly Nehls Remblake | Pharmacist | 6488 N Oracle Road, Tuson, AZ 85704 | 2020-08-28 |
| 1114562311 | Sarah Laing | Music Therapist | 314 E Cambridge Drive, Tucson, AZ 85704 | 2019-11-12 |
| 1750876587 | Stephanie Ann Schmid | Nurse Practitioner | 1631 W Ina Rd, Tucson, AZ 85704 | 2018-06-25 |
| 1619468063 | Barnet Dulaney Perkins Eye Center II Pllc | Durable Medical Equipment & Medical Supplies | 10195 N Oracle Rd Ste 125, Oro Valley, AZ 85704 | 2018-05-22 |
| 1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
| 1215448790 | Janelle K Borg | Physical Therapist | 7530 N Oracle Rd Ste 100, Tucson, AZ 85704 | 2017-10-23 |
| 1982122396 | Wellbeing Institute | Pathology | 6879 N. Oracle Road, Suite 125, Tucson, AZ 85704 | 2017-09-06 |
| 1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
| 1902252752 | Conrad Drinkwater | Dentist | 9000 N Oracle Rd Ste B, Oro Valley, AZ 85704 | 2016-05-11 |
| 1912375668 | Adrianna Rodriguez | Pharmacist | 4701 N. Stone Ave, Tucson, AZ 85704 | 2015-09-11 |
| Find all providers in zip 85704 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700433885 | Arizona Total Care LLC | Clinic/Center | 5441 E 8th St, Tucson, AZ 85711-3108 | 2019-08-22 |
| 1922660182 | Banner -- University Medical Center South Campus LLC | Clinic/Center | 3950 S Country Club Rd Ste 130&140, Tucson, AZ 85714-2099 | 2019-07-08 |
| 1205497476 | Desert Medical Offices LLC | Clinic/Center | 5981 E Grant Rd Ste 115, Tucson, AZ 85712-2363 | 2019-06-27 |
| 1043758816 | B--umg Integrated Health Clinic, LLC | Clinic/Center | 535 N Wilmot Rd Fl 2, Tucson, AZ 85711-2600 | 2017-02-01 |
| 1932708328 | Banner -- University Medical Group | Clinic/Center | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2020-10-18 |
| 1982210118 | Vasco Healthcare Inc | Clinic/Center | 3900 E Broadway Blvd, Tucson, AZ 85711-3453 | 2020-09-22 |
| 1972119105 | Vasco Healthcare Inc | Clinic/Center | 2120 W Ina Rd Ste 100, Tucson, AZ 85741-5501 | 2020-09-22 |
| 1942763081 | Casabona Chiropractic PC | Clinic/Center | 7562 N La Cholla Blvd, Tucson, AZ 85741-2307 | 2019-04-06 |
| 1376000786 | Children's Clinics for Rehabilitative Services | Clinic/Center | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2019-02-22 |
| 1487178505 | B--umg Tucson Ap Physicians LLC | Clinic/Center | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2017-07-31 |
| 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.