BANNER SUN CITY MEDICAL GROUP (NPI# 1902067200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902067200 |
| Entity Type | Organization |
| Organization Name | BANNER SUN CITY MEDICAL GROUP |
| Practice Address |
10401 W Thunderbird Blvd Sun City AZ 85351-3004 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 4804612409 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2010-05-20 |
| Authorized Official Name | DENNIS E 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 |
10401 W THUNDERBIRD BLVD |
| City | SUN CITY |
| State | AZ |
| Zip Code | 85351-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275526139 | Alice M Kraft | Dietitian, Registered | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2005-08-25 |
| 1528671948 | Joseph Christopher Marranca | Physician Assistant | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2020-08-25 |
| 1740814920 | Loren Kesti | Registered Nurse | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2020-02-26 |
| 1366092082 | Regina M Valenzuela | Nurse Practitioner | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2019-09-14 |
| 1497302764 | Rim Mekonnen Hadgu | Pharmacist | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2019-08-21 |
| 1124670740 | Noemi Frechette | Physician Assistant | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2019-07-13 |
| 1649833716 | Francisca Melissa Olibarria | Registered Nurse | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2019-04-15 |
| 1235691387 | Jessica Nicole Oliverson Abel | Physician Assistant | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2019-04-05 |
| 1053880989 | Deanna Kay Villalino | Nurse Anesthetist, Certified Registered | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2018-11-20 |
| 1962977710 | Alaunus Anesthesia Plc | Anesthesiology | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2018-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003566 | T&h Hearing LLC | Hearing Aid Equipment | 13616 N. 99th Ave., Sun City, AZ 85351 | 2019-09-20 |
| 1881247682 | Amanda M Neri | Physician Assistant | 10401 W. Thunderbird Blvd Md Anderson - Banner Boswell, Sun City, AZ 85351 | 2019-07-20 |
| 1649822313 | Azmed Rehab LLC | Family Medicine | 14281 North Del Webb Blvd, Sun City, AZ 85351 | 2019-07-12 |
| 1982182267 | Akdhc, LLC | Internal Medicine | 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 | 2018-07-30 |
| 1871084814 | Amy Mikulec | Physical Therapist | Banner Physical Therapy and Rehab Boswell, 10503 W Thunderbird Blvd Suite 263a, Sun City, AZ 85351 | 2018-05-25 |
| 1194238345 | Lorie Jo Matthews | Nurse Practitioner | 10494 W Thunderbird Blvd Ste 102, Sun City, AZ 85351 | 2017-11-09 |
| 1184153363 | Susan Jane Hockman | Registered Nurse | 14601 N Delwebb Blvd, Sun City, AZ 85351 | 2017-06-09 |
| 1043769169 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 13203 N 103rd Ave Ste J1&j2, Sun City, AZ 85351 | 2016-09-30 |
| 1033563002 | Vittoria Giovannucci | Technician/Technologist | 10503 W Thunderbird Blvd Ste 101a, Sun City, AZ 85351 | 2016-04-15 |
| 1669858379 | Qui Nguyen | Pharmacist | 10660 Nw Grand Ave, Sun City, AZ 85351 | 2015-08-04 |
| Find all providers in zip 85351 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629237201 | Banner Sun City Neurological and Surgical Specialists | Clinic/Center | 13188 N 103rd Dr Ste 206, Sun City, AZ 85351-3066 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254918 | Assyrian Family Health Alliance | Clinic/Center | 10210 N 32nd St Ste C6, Phoenix, AZ 85028-3826 | 2020-10-26 |
| 1659970242 | Orthopedic Specialists of North America Pllc | Clinic/Center | 33300 N 32nd Ave, Phoenix, AZ 85085-8877 | 2020-10-23 |
| 1689273542 | Orthopedic Specialists of North America Pllc | Clinic/Center | 33400 N 32nd Ave Fl 1, Phoenix, AZ 85085-8876 | 2020-10-21 |
| 1629676317 | Bethel Hills Integrated Healthcare | Clinic/Center | 13838 S 46th Pl Ste 300, Phoenix, AZ 85044-7804 | 2020-10-14 |
| 1639786585 | Crossover Health Medical Group | Clinic/Center | 1847 E Southern Ave Ste 3, Tempe, AZ 85282-5881 | 2020-09-24 |
| 1821605775 | Crossover Health Medical Group | Clinic/Center | 5251 W Campbell Ave Ste 200, Phoenix, AZ 85031-1719 | 2020-09-24 |
| 1649887597 | Crossover Health Medical Group | Clinic/Center | 8343 W Van Buren St Bldg C-2, Tolleson, AZ 85353-3225 | 2020-09-24 |
| 1235745464 | Vasco Healthcare Inc | Clinic/Center | 2110 W 24th St Ste A, Yuma, AZ 85364-8878 | 2020-09-22 |
| 1265048490 | Vasco Healthcare Inc | Clinic/Center | 8952 E Desert Cove Ave Ste 204, Scottsdale, AZ 85260-6777 | 2020-09-22 |
| 1942816160 | Vasco Healthcare Inc | Clinic/Center | 13026 W Rancho Santa Fe Blvd Ste B100, Avondale, AZ 85392-1712 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BANNER SUN CITY MEDICAL GROUP.
| 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.