BANNER SURGERY CENTERS (NPI# 1922043231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922043231 |
| Entity Type | Organization |
| Organization Name | BANNER SURGERY CENTERS |
| Practice Address |
525 W Brown Rd Mesa AZ 85201-3202 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 4806845000 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2012-11-21 |
| 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 | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
OSC 3816 | AZ | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Banner Surgery Centers, LLC | 525 W Brown Road, 2nd Floor, Mesa, AZ 85201 |
| Street Address |
525 W BROWN RD |
| City | MESA |
| State | AZ |
| Zip Code | 85201-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218212 | Lisa L Mckirchy | Social Worker | 525 W Brown Rd, Mesa, AZ 85201-3202 | 2020-06-01 |
| 1952939985 | Samantha King | Nurse Practitioner | 525 W Brown Rd, Mesa, AZ 85201-3202 | 2020-03-27 |
| 1902430853 | Esther Ansah Nuamah | Nurse Practitioner | 525 W Brown Rd, Mesa, AZ 85201-3202 | 2020-03-01 |
| 1831740463 | Vicki M Knapper | Social Worker | 525 W Brown Rd, Mesa, AZ 85201-3202 | 2019-09-25 |
| 1841852373 | David Allen Krants | Pharmacist | 525 W Brown Rd, Mesa, AZ 85201-3202 | 2019-07-04 |
| 1134784895 | Sean Mccarthy | Social Worker | 525 W Brown Rd, Mesa, AZ 85201-3202 | 2019-05-07 |
| 1548824238 | Mary Mack | Social Worker | 525 W Brown Rd, Mesa, AZ 85201-3202 | 2019-04-28 |
| 1801459755 | Lesley Fuwa | Social Worker | 525 W Brown Rd, Mesa, AZ 85201-3202 | 2019-04-17 |
| 1780247494 | Amy Chislock Van Ness | Social Worker | 525 W Brown Rd, Mesa, AZ 85201-3202 | 2019-04-17 |
| 1376106294 | Jaclyn Ann Grajewski | Social Worker | 525 W Brown Rd, Mesa, AZ 85201-3202 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735384 | Rembrandt Treatment Center LLC | Clinic/Center | 6859 E Rembrandt Ave Ste 101, Mesa, AZ 85212-3629 | 2020-09-22 |
| 1588203723 | Southwest Cardiovascular Interventional Center, LLC | Clinic/Center | 7529 E Broadway, Mesa, AZ 85208 | 2020-01-06 |
| 1760021802 | Southwest Endovascular Center, LLC | Clinic/Center | 7529 E Broadway Rd, Mesa, AZ 85208 | 2020-01-06 |
| 1760960405 | Bertha, LLC | Clinic/Center | 3850 E Baseline Rd Ste 117, Mesa, AZ 85206-4404 | 2018-08-03 |
| 1164930731 | Rembrandt Outpatient Surgery Center Pllc | Clinic/Center | 6859 E Rembrandt Ave Ste 114, Mesa, AZ 85212-3629 | 2018-01-17 |
| 1770093270 | Az Facility Services | Clinic/Center | 1839 S Alma School Rd Ste 354, Mesa, AZ 85210-3028 | 2017-10-10 |
| 1417479635 | Tcsc Ev LLC | Clinic/Center | 1114 S Higley Rd Ste 101, Mesa, AZ 85206-3000 | 2017-07-10 |
| 1972024917 | Trusted Care East Valley Az, LLC | Clinic/Center | 1114 S Higley Road Ste 101, Mesa, AZ 85206 | 2017-06-29 |
| 1477000602 | Discover Surgical Center LLC | Clinic/Center | 135 S Power Rd Ste 110, Mesa, AZ 85206-5245 | 2016-09-06 |
| 1275914186 | Verve Surgical Institute, Inc. | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2015-06-16 |
| 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.