BANNER CARDIO-THORACIC AND VASCULAR SPECIALISTS (NPI# 1770762635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770762635 |
Entity Type | Organization |
Organization Name | BANNER CARDIO-THORACIC AND VASCULAR SPECIALISTS |
Practice Address |
6750 E Baywood Ave Suite 504 Mesa AZ 85206-1749 |
Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
Practice Telephone | 4804612409 |
Enumeration Date | 2007-10-29 |
Last Update Date | 2007-10-29 |
Authorized Official Name | DENNIS E DAHLEN (SR 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 | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
Street Address |
6750 E BAYWOOD AVE SUITE 504 |
City | MESA |
State | AZ |
Zip Code | 85206-1749 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588657910 | G Andrew Sulit | Internal Medicine | 6750 E Baywood Ave, Ste 401, Mesa, AZ 85206-1749 | 2005-08-31 |
1821441718 | Amy Kleinhans | Nurse Practitioner | 6750 E Baywood Ave, Suite 301, Mesa, AZ 85206-1749 | 2016-07-15 |
1992193957 | Robert James Mcleod | Physician Assistant | 6750 E Baywood Ave, Suite 503, Mesa, AZ 85206-1749 | 2014-12-29 |
1508264201 | Suzanne Marie Woodhall | Nurse Practitioner | 6750 E Baywood Ave, Mesa, AZ 85206-1749 | 2014-12-11 |
1003243643 | Marilyn Rose Schatz | Nurse Practitioner | 6750 E Baywood Ave, Suite 401, Mesa, AZ 85206-1749 | 2013-09-27 |
1780929141 | Urologic Surgeons of Arizona Plc | Internal Medicine | 6750 E Baywood Ave, Ste 507, Mesa, AZ 85206-1749 | 2012-12-11 |
1720378276 | Weston William Sanders | Nurse Practitioner | 6750 E Baywood Ave, Mesa, AZ 85206-1749 | 2011-04-17 |
1932384773 | Jacob T Green | Internal Medicine | 6750 E Baywood Ave, 301, Mesa, AZ 85206-1749 | 2007-12-28 |
1073712154 | Denise Erickson | Pharmacist | 6750 E Baywood Ave, Mesa, AZ 85206-1749 | 2007-07-17 |
1407050834 | Cardiology Care of Arizona PC | Internal Medicine | 6750 E Baywood Ave, Suite 503, Mesa, AZ 85206-1749 | 2007-06-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
Find all providers in zip 85206 |
Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376804203 | Daniel Scott Eads | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1830 S Alma School Rd Ste 108, Mesa, AZ 85210-3086 | 2012-06-07 |
1558708487 | Fadi Munir Khoury | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1830 S Alma School Rd Ste 108, Mesa, AZ 85210-3086 | 2013-06-02 |
1902828825 | Darryl G Stein | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1830 S Alma School Rd, Suite 108, Mesa, AZ 85210-3056 | 2006-07-24 |
1548295462 | Donald B Polansky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1830 S Alma School Rd, Suite 108, Mesa, AZ 85210-3056 | 2006-07-11 |
1801840988 | Desert Cardiothoracic Surgeons, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1432 S Dobson Rd, Ste 206, Mesa, AZ 85202-4771 | 2006-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629536784 | Lammykins, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11610 N 17th Pl, Phoenix, AZ 85020-1320 | 2019-03-07 |
1619403995 | Surgical Healthcare LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4626 E Sheena Dr, Phoenix, AZ 85032-5524 | 2017-05-05 |
1902357676 | Hsien-chen John Chiang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 336 W Rose Ln, Phoenix, AZ 85013-1529 | 2016-10-18 |
1154773463 | Marwan Ghazoul Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4240 E Marlette Ave, Paradise Valley, AZ 85253-3960 | 2016-07-11 |
1609212497 | Joseph Donald Marco | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4825 South Manning Camp Ct, Tucson, AZ 85747 | 2013-05-20 |
1467795054 | Christopher Piercecchi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Savahs 3601 S 6th Ave, Tucson, AZ 85775-2303 | 2013-04-01 |
1699045419 | Neil George Steinhoff | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3737 E Medlock Dr, Phoenix, AZ 85018-1507 | 2012-01-10 |
1164729711 | Burt Solomon Strug | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2801 N. Camino Principal, Tucson, AZ 85715-3112 | 2011-02-17 |
1073832515 | Cecil Cyrus Vaughn II | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5124 N 31st Pl, #544, Phoenix, AZ 85016-4527 | 2010-05-24 |
1881910115 | Walter Chikelueze Wakwe | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2946 E. Banner Gateway Dr, Gilbert, AZ 85234 | 2010-04-12 |
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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.