BANNER ARIZONA MEDICAL CLINIC LTD (NPI# 1952432866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952432866 |
| Entity Type | Organization |
| Organization Name | BANNER ARIZONA MEDICAL CLINIC LTD |
| Practice Address |
14416 W Meeker Blvd Sun City West AZ 85375-5284 |
| Mailing Address |
13640 N Plaza Del Rio Blvd Peoria AZ 85381-4846 |
| Practice Telephone | 6235835270 |
| Practice Fax Number | 6235835130 |
| Mailing Telephone | 6238763800 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-09-19 |
| Authorized Official Name | PROF. MARGARET BURKE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6238763967 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | OTC3858 | AZ | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | OTC3858 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 516437 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780715698 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 9165 W Thunderbird Road, Peoria, AZ 85381 | 2007-03-09 |
| 1225169188 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 14420 W Meeker Blvd, Sun City West, AZ 85375-5286 | 2007-03-09 |
| 1578694055 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2007-03-08 |
| 1245361773 | Banner Arizona Medical Clinic Ltd | Clinical Medical Laboratory | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2007-03-08 |
| 1447381207 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 14418 W Meeker Blvd, Sun City West, AZ 85375-5283 | 2007-03-07 |
| 1568593325 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 10401 W Thunderbird Blvd, Ste 209, Sun City, AZ 85351-3004 | 2007-03-07 |
| 1487785002 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 13760 N 93rd Ave, Peoria, AZ 85381-4201 | 2007-03-07 |
| 1750347936 | Banner Arizona Medical Clinic Ltd | Clinic/Center | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2006-04-25 |
| Street Address |
14416 W MEEKER BLVD |
| City | SUN CITY WEST |
| State | AZ |
| Zip Code | 85375-5284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982691994 | Paul Warren Keiser | Family Medicine | 14416 W Meeker Blvd, Bldg C, Sun City West, AZ 85375-5284 | 2005-10-04 |
| 1497142988 | Kaitlyn Laray Rath | Nurse Practitioner | 14416 W Meeker Blvd, Ste 301, Sun City West, AZ 85375-5284 | 2015-04-22 |
| 1336578038 | Cindy Penaranda | Dietitian, Registered | 14416 W Meeker Blvd, Suite 100, Sun City West, AZ 85375-5284 | 2013-11-04 |
| 1548538069 | Banner Physician Specialists Arizona LLC | Durable Medical Equipment & Medical Supplies | 14416 W Meeker Blvd, Sun City West, AZ 85375-5284 | 2011-12-12 |
| 1548397995 | Pritpal Sandhu | Family Medicine | 14416 W Meeker Blvd, Ste 300, Sun City West, AZ 85375-5284 | 2007-02-27 |
| 1063430114 | Valerie Marks | Internal Medicine | 14416 W Meeker Blvd, Suite 100, Sun City West, AZ 85375-5284 | 2006-07-17 |
| 1003852096 | Thomas P Foerster | Orthopaedic Surgery | 14416 W Meeker Blvd, Bldg C, Sun City West, AZ 85375-5284 | 2006-06-20 |
| 1801830542 | Richard A Worhacz | Family Medicine | 14416 W Meeker Blvd, Bldg C, Sun City West, AZ 85375-5284 | 2006-06-15 |
| 1851331029 | Stephen H Dault | Family Medicine | 14416 W Meeker Blvd, Bldg C, Sun City West, AZ 85375-5284 | 2006-06-07 |
| 1861432973 | Mark F Johnson | Ophthalmology | 14416 W Meeker Blvd, Bldg C, Sun City West, AZ 85375-5284 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801380662 | Melissa Darlene Ramirez | Nurse Practitioner | 14418 W Meeker Blvd Ste 100, Sun City West, AZ 85375 | 2018-06-15 |
| 1740798974 | Warner Steward | Physical Therapist | 14418 W Meeker Blvd, Ste 301, Bldg B, Sun City West, AZ 85375 | 2018-01-22 |
| 1154838589 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 14419 W Meeker, Sun City West, AZ 85375 | 2018-01-08 |
| 1467978320 | Nicole E Oppenheimer | Physician Assistant | 14416 W. Meeker Blvd, Ste 301, Sun City West, AZ 85375 | 2017-08-22 |
| 1134642838 | Jeffrey David Atkins | Physician Assistant | 14502 W Meeker Boulevard, Sun City West, AZ 85375 | 2017-07-25 |
| 1417486465 | Iora Senior Health, Inc | Internal Medicine | 13940 W. Meeker Blvd., Suite 101, Sun City West, AZ 85375 | 2017-06-05 |
| 1710224316 | Arizona Audiology & Hearing, Inc. | Audiologist-Hearing Aid Fitter | 13540 W. Camino Del Sol #20, Sun City West, AZ 85375 | 2013-01-16 |
| 1215280151 | Laura A L'heureux | Internal Medicine | 13949 W. Meeker Blvd, Suite D, Sun City West, AZ 85375 | 2012-10-16 |
| 1073872859 | Keith Arbuckle | Podiatrist | 13949 W Meeker Blvd Ste B, Sun City West, AZ 85375 | 2012-05-14 |
| 1285936336 | A-z Denture Center | Dentist | 19082 N. Rh Johnson Blvd, Sun City West, AZ 85375 | 2010-11-23 |
| Find all providers in zip 85375 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154838589 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 14419 W Meeker, Sun City West, AZ 85375 | 2018-01-08 |
| 1073728952 | A1 Respiratory | Durable Medical Equipment & Medical Supplies | 14326 W Las Brizas Ln, Sun City West, AZ 85375-2729 | 2007-05-13 |
| 1285711853 | Eagle Ventures | Durable Medical Equipment & Medical Supplies | 13606 W Camino Del Sol Ste 112, Sun City West, AZ 85375-4476 | 2006-11-01 |
| 1528074986 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 14418 W Meeker Blvd Ste 101, Sun City West, AZ 85375-5290 | 2006-07-31 |
| 1710992045 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 19003 N R H Johnson Blvd, Sun City West, AZ 85375-4402 | 2006-07-29 |
| 1538198585 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 13503 W Camino Del Sol, Sun City West, AZ 85375-4439 | 2006-07-02 |
| 1295776110 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 19602 R H Johnson, Sun City West, AZ 85375-4419 | 2006-06-10 |
| 1699282178 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 14418 W Meeker Blvd, Sun City West, AZ 85375-5283 | 2018-01-05 |
| 1750630836 | Banner Primary Care Physicians Arizona LLC | Durable Medical Equipment & Medical Supplies | 14416 W Meeker Blvd Ste 100, Sun City West, AZ 85375 | 2012-09-05 |
| 1679842223 | Banner Physician Specialists Arizona LLC | Durable Medical Equipment & Medical Supplies | 14420 W Meeker Blvd, Ste 104, Sun City West, AZ 85375-5286 | 2011-12-27 |
| Find all providers in SUN CITY WEST | ||||
| City | SUN CITY WEST |
| Zip Code | 85375 |
Please comment or provide details below to improve the information on BANNER ARIZONA MEDICAL CLINIC LTD.
| 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.