BANNER HEALTH CLINIC (NPI# 1750641403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750641403 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH CLINIC |
| Practice Address |
1432 S Dobson Rd Ste 402 Mesa AZ 85202-4777 |
| Practice Telephone | 4804125550 |
| Mailing Telephone | 4804125550 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |
| Authorized Official Name | MRS. AMI LONG (CLINICAL DIETITIAN II) |
| Authorized Official Telephone | 4804126315 |
| Authorized Official Credential | RD, CSP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023554466 | Banner Health Clinic | Clinic/Center | 8510 W Deer Valley Rd Ste 100, Peoria, AZ 85382-5386 | 2017-01-09 |
| Street Address |
1432 S DOBSON RD STE 402 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144644733 | Smita Nicole Aguirre | Dietitian, Registered | 1432 S Dobson Rd Ste 402, Mesa, AZ 85202-4777 | 2014-02-18 |
| 1750643417 | Ami Long | Dietitian, Registered | 1432 S Dobson Rd Ste 402, Mesa, AZ 85202-4777 | 2012-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003474461 | Cactus Pediatric Orthopaedics, Pllc | Clinic/Center | 1500 S Dobson Rd Ste 200, Mesa, AZ 85202-4724 | 2019-05-31 |
| 1750768446 | Beth Furman, Do, LLC | Clinic/Center | 3035 S Ellsworth, Suite #103, Mesa, AZ 85212 | 2015-05-01 |
| 1053798793 | The Source Naturopathic Medical Clinic | Clinic/Center | 1932 N Mesa Dr Unit 9, Mesa, AZ 85201-1622 | 2015-05-01 |
| 1679973358 | Performance Therapies Plus LLC | Clinic/Center | 2855 E Brown Rd Ste 20, Mesa, AZ 85213-4216 | 2014-08-29 |
| 1659650844 | Us Medgroup Pa | Clinic/Center | 1710 W Southern, Mesa, AZ 85202 | 2011-08-05 |
| 1790950988 | Cigna Healthcare of Arizona, Inc. | Clinic/Center | 5735 E Mckellips Rd, Suite 101, Mesa, AZ 85215-2875 | 2008-04-28 |
| 1942481379 | Clouse Chiropractic Clinic LLC | Clinic/Center | 437 S Gilbert Rd Ste 14, Mesa, AZ 85204-2866 | 2007-11-14 |
| 1467453019 | Advanced Cardiac Specialists, Chartered | Clinic/Center | 515 N Mesa Dr, Ste. 100, Mesa, AZ 85201-5914 | 2005-08-04 |
| 1831737303 | Repower Medical Clinic, LLC | Clinic/Center | 7254 E Southern Ave Ste 113, Mesa, AZ 85209-2787 | 2019-12-16 |
| 1003450461 | Stillpoint Wellness, LLC | Clinic/Center | 2266 S Dobson Rd Ste 200, Mesa, AZ 85202-6412 | 2019-10-29 |
| Find all providers in MESA | ||||
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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.