BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS TRAUMA SERVICES (NPI# 1952354474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952354474 |
| Entity Type | Organization |
| Organization Name | BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS TRAUMA SERVICES |
| Practice Address |
925 E Mcdowell Rd Phoenix AZ 85006-2502 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 6022392391 |
| Practice Fax Number | 6022394362 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-02-26 |
| 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 | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 767832 | 05 |
| Street Address |
925 E MCDOWELL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649564 | Michael John Conway | Surgery | 925 E Mcdowell Rd, Phoenix, AZ 85006 | 2005-06-15 |
| 1992220719 | Samantha Kathryn Sorg | Physician Assistant | 925 E Mcdowell Rd, Phoenix, AZ 85006 | 2017-08-14 |
| 1114378841 | Phillip Standen | Surgery | 925 E Mcdowell Rd, Phoenix, AZ 85006-2502 | 2016-06-23 |
| 1003266677 | Lacey Wood | Surgery | 925 E Mcdowell Rd, Department of Surgery, Phoenix, AZ 85006-2502 | 2016-06-15 |
| 1821448499 | Kelsey Hoidal | Surgery | 925 E Mcdowell Rd, Department of Surgery, Phoenix, AZ 85006-2502 | 2016-06-15 |
| 1003266701 | Angela Arreola | Surgery | 925 E Mcdowell Rd, Phoenix, AZ 85006-2502 | 2016-06-14 |
| 1326498965 | Robert Maher | Surgery | 925 E Mcdowell Rd, Department of Surgery, Phoenix, AZ 85006-2502 | 2016-06-14 |
| 1518317213 | Jena Bunda | Surgery | 925 E Mcdowell Rd, Phoenix, AZ 85006-2502 | 2016-06-14 |
| 1932559572 | Morgan Crigger | Surgery | 925 E Mcdowell Rd, Department of Surgery, Phoenix, AZ 85006-2502 | 2016-06-14 |
| 1316397003 | Caitlin Thornley | Surgery | 925 E Mcdowell Rd, Phoenix, AZ 85006-2502 | 2016-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629546130 | Josh Vella, M.d., Pllc | Clinic/Center | 3200 E Camelback Rd Ste 180, Phoenix, AZ 85018-2326 | 2018-11-02 |
| 1417433236 | Spectrum Medical Care Center | Clinic/Center | 52 E Monterey Way Ste A, Phoenix, AZ 85012-2628 | 2018-07-15 |
| 1063685824 | Carriker Eye Center, PC | Clinic/Center | 502 W Northview Ave, Phoenix, AZ 85021-8742 | 2008-04-11 |
| 1942429923 | No Appointment Md | Clinic/Center | 12235 N Cave Creek Rd., Suite 9, Phoenix, AZ 85022 | 2007-04-25 |
| 1699015446 | Podolak Chiropractic Center LLC | Clinic/Center | 4131 W Thunderbird Rd, Phoenix, AZ 85053-5341 | 2013-02-15 |
| 1871846055 | Az Pain Specialists, LLC | Clinic/Center | 668 N 44th St, Suite 100-w, Phoenix, AZ 85008-6506 | 2012-10-24 |
| 1639460025 | Phoenix Spine Consultants | Clinic/Center | 19841 N 27th Ave, Suite 300a, Phoenix, AZ 85027-4003 | 2011-04-20 |
| 1508180043 | Providence General Medicine | Clinic/Center | 1701 W Glendale Ave, Phoenix, AZ 85021-9701 | 2010-03-25 |
| 1154651966 | Pediatric Endocrinology of Phoenix | Clinic/Center | 15600 N Black Canyon Hwy, Ste 102, Phoenix, AZ 85053-4055 | 2009-12-30 |
| 1770725913 | North Valley Head and Neck Surgery, LLC | Clinic/Center | 9327 N 3rd St, Suite 202, Phoenix, AZ 85020-2470 | 2009-04-02 |
| Find all providers in PHOENIX | ||||
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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.