BANNER THUNDERBIRD MEDICAL CENTER (NPI# 1699829929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699829929 |
| Entity Type | Organization |
| Organization Name | BANNER THUNDERBIRD MEDICAL CENTER |
| Practice Address |
5555 W Thunderbird Rd Glendale AZ 85306-4622 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 6028655555 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2010-10-18 |
| Authorized Official Name | DENNIS DAHLEN (SYSTEM VICE PRESIDENT 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 | 273R00000X | Psychiatric Unit | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144374471 | Banner Thunderbird Medical Center | Rehabilitation Unit | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2007-01-23 |
| 1154355188 | Banner Thunderbird Medical Center | General Acute Care Hospital | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2006-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BANNER THUNDERBIRD MEDICAL CENTER | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 |
| Street Address |
5555 W THUNDERBIRD RD |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932194677 | Christopher David Sullivan | Emergency Medical Technician, Paramedic | 5555 W Thunderbird Rd, Glendale, AZ 85306 | 2005-09-20 |
| 1134746597 | Samantha Borbely | Registered Nurse | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-07-01 |
| 1891319380 | Amy Robinson | Pharmacist | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-06-01 |
| 1538709134 | Teresa Socio | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-01-10 |
| 1861032773 | Amy Suzanne Mabry | Pediatrics | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-01-08 |
| 1558907311 | Edim Musa | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2019-11-26 |
| 1437623717 | Camile Fabrigail Solidum | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2019-01-19 |
| 1730660119 | Melissa England | Pharmacist | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2018-08-23 |
| 1477047520 | Ashley Blair Forester | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2018-06-20 |
| 1063912574 | Adrian Senh Long | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2018-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251401 | Usc Verdugo Hills Hospital | Psychiatric Unit | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2020-10-02 |
| 1285946202 | Alpha Psychiatric Associates, P.l.l.c. | Psychiatric Unit | 6015 W Peoria Ave, Glendale, AZ 85302-1213 | 2010-07-07 |
| 1477610640 | Dignity Health | Psychiatric Unit | 1420 S Central Ave, Glendale, CA 91204-2508 | 2007-01-03 |
| 1336138403 | Glendale Adventist Medical Center | Psychiatric Unit | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702513 | Terri Collins | Psychiatric Unit | 456 E Taylor Trl, San Tan Valley, AZ 85143-5599 | 2020-08-24 |
| 1356802912 | Talas Harbor At Bullhead City | Psychiatric Unit | 831 Landon Drive, Bullhead City, AZ 86429 | 2019-03-27 |
| 1952471518 | Mohave Mental Health Clinic Inc | Psychiatric Unit | 1741 Sycamore Avenue, Kingman, AZ 86409 | 2006-11-09 |
| 1417032145 | Carondelet Health Network | Psychiatric Unit | 1601 West St Mary's Road, Tucson, AZ 85745-2623 | 2006-10-25 |
| 1609957141 | Carondelet Health Network | Psychiatric Unit | 1601 W St Mary's Road, Tucson, AZ 85745-2623 | 2006-10-18 |
| 1750462107 | Carondelet Health Network | Psychiatric Unit | 1802 West St. Mary's Road, Tucson, AZ 85745-2623 | 2006-10-18 |
| 1073614905 | Lafrontera Center Inc. | Psychiatric Unit | 1601 E. Apache Park Place, Tucson, AZ 85714 | 2006-09-25 |
| 1477104552 | Summit Healthcare Association | Psychiatric Unit | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-09-20 |
| 1578071809 | Southwest Behavioral Health Services,inc. | Psychiatric Unit | 2042 N 35th Ave, Phoenix, AZ 85009-2353 | 2018-01-22 |
| 1720454341 | Smsj Tucson Holdings LLC | Psychiatric Unit | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2015-08-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BANNER THUNDERBIRD MEDICAL CENTER.
| 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.