BANNER -- UNIVERSITY MEDICAL GROUP


Address: 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683
Phone: 5206945437

BANNER -- UNIVERSITY MEDICAL GROUP (NPI# 1932708328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932708328
Entity Type Organization
Organization Name BANNER -- UNIVERSITY MEDICAL GROUP
Practice Address 535 N Wilmot Rd Ste 101
Tucson
AZ 85711-2683
Mailing Address 2901 N Central Ave Ste 160
Phoenix
AZ 85012-2702
Practice Telephone 5206945437
Practice Fax Number 5208744751
Enumeration Date 2020-10-18
Last Update Date 2020-10-18
Authorized Official Name DENNIS LARAWAY (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 6027474000
Is Organization Subpart Y
Parent Organization Name BANNER HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
Dietary & Nutritional Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578910485 Banner -- University Medical Group Clinic/Center 535 N Wilmot Rd, Tucson, AZ 85711-2600 2016-05-20
1568818649 Banner -- University Medical Group Clinic/Center 535 N Wilmot Rd, Tucson, AZ 85711-2600 2016-05-09
1508809427 Banner -- University Medical Group Allergy & Immunology 2901 N Central Ave, Phoenix, AZ 85012-2700 2006-06-14

Office Location

Street Address 535 N WILMOT RD STE 101
City TUCSON
State AZ
Zip Code 85711-2683

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396718524 Richard Donnerstein Pediatrics 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 2006-02-08
1770825275 Keith Zachary Hazleton Pediatrics 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 2013-03-22
1114098472 Joseph E Sheppard Orthopaedic Surgery 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 2006-11-10
1164511432 Christine A Muhleman Occupational Therapist 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 2006-10-12
1659301240 Cynthia L Uthe-straw Nurse Practitioner 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 2006-07-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356959951 Ridgeline Practice Counselor 4625 N Broadway, Suite 105, Tucson, AZ 85711 2020-07-20
1881229946 Famiglia Amore II LLC Assisted Living Facility 632 N. Wilmot, Tucson, AZ 85711 2020-03-10
1992343362 Laurie Anne Mcmahon Family Medicine 899 N. Wilmot, Building B, Tucson, AZ 85711 2019-12-17
1063060093 Sharese Ann Bailey Counselor 300 S Craycroft Rd, Tucson, AZ 85711 2019-09-03
1467940015 Jin Zhang Ophthalmology 655 N Alvernon Way Ste 204, Tucson, AZ 85711 2018-04-30
1447779525 Catherine Butler Hobart Pharmacist 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 2017-09-11
1689196420 Cope Community Services, Inc. Case Management 924 N Alvernon Way, Tucson, AZ 85711 2017-07-13
1124561477 Regina Maendler Behavioral Analyst 630 N. Craycroft Rd, Tucson, AZ 85711 2016-11-18
1881140184 Elleda Linsmeyer Speech-Language Pathologist St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 2016-08-28
1962856260 Csl-tucson, LLC Assisted Living Facility 1020 N. Woodland Avenue, Tucson, AZ 85711 2016-04-22
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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164029385 Charlotte Marie Mcintyre Nutritionist 1000 E Water St Apt 7, Tucson, AZ 85719-3075 2020-10-01
1881219707 Gabrielle Hungate Nutritionist 10754 N Chapin Ct, Tucson, AZ 85737-6634 2020-06-16
1427593391 Martha Imelda Huizar Nutritionist 2214 E Vera Cruz Vis, Tucson, AZ 85713-5199 2016-12-30
1356790158 Banner Umc Dpec Nutritionist 3950 S Country Club Road, Suite 130, Tucson, AZ 85714 2016-06-13
1629238589 World Integrated Systems In Health, LLC Nutritionist 4627 N 1st Ave, Suite #2, Tucson, AZ 85718-8606 2008-06-13
1295226926 Archer Bodyworks LLC Nutritionist 4625 E Broadway Blvd Ste 114, Tucson, AZ 85711-3575 2018-05-29
1619219631 Eastside Nutrition LLC Nutritionist 333 N Wilmot Rd, Suite 340, Tucson, AZ 85711-2631 2013-03-18
1558665398 Armando Valdez De Guzman Nutritionist 9420 E Golf Links Rd, Suite 108-296, Tucson, AZ 85730-1355 2011-01-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538780598 Penny Jean Stadick Nutritionist 20259 N Ryans Trl, Maricopa, AZ 85138-2446 2020-04-30
1275099020 David Medansky Nutritionist 11980 W Shifting Sands Dr, Peoria, AZ 85383-2623 2019-02-18
1306345780 Christine Inez Cintron Nutritionist 9231 E Carol Ave, Mesa, AZ 85208-2497 2018-02-12
1285143115 Charles Higgins Jr. Nutritionist 600 N 4th St Apt 272, Phoenix, AZ 85004-4485 2017-09-22
1326568486 Damian Dube Nutritionist 1503 N Rockwell St, Gilbert, AZ 85234-1436 2017-06-20
1639622434 Jenny Woelk Nutritionist 2757 S Pewter Dr, 102, Gilbert, AZ 85295-1282 2016-07-27
1053783829 Debra L Mcdaniel-perez Nutritionist 28784 E Aster Ln, Marana, AZ 85658-9223 2015-10-20
1114301967 Peggy Gomez Nutritionist 15251 N 45th Pl, Phoenix, AZ 85032-4840 2015-07-10
1790190155 Rustom Ali Nutritionist 1968 Mesquite Ave, Lake Havasu City, AZ 86403-5729 2014-06-24
1669883641 Fredrick Grundy Nutritionist 6024 N Laguna Dr, Litchfield Park, AZ 85340-7339 2014-05-13
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City TUCSON
Zip Code 85711

Improve Information

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Dataset Information

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.

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