BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC


Address: 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846
Phone: 6238763800

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC (NPI# 1093083503) 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) 1093083503
Entity Type Organization
Organization Name BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Practice Address 13640 N Plaza Del Rio Blvd
Peoria
AZ 85381-4846
Mailing Address 1441 N 12th St
Phoenix
AZ 85006-2837
Practice Telephone 6238763800
Mailing Telephone 6027474000
Enumeration Date 2011-12-12
Last Update Date 2011-12-13
Authorized Official Name DENNIS E DAHLEN (SR VP FINANCE)
Authorized Official Telephone 6027474000
Is Organization Subpart Y
Parent Organization Name BANNER MEDICAL GROUP

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194164681 Banner Primary Care Physicians Arizona LLC Durable Medical Equipment & Medical Supplies 9780 S Estrella Pkwy, Goodyear, AZ 85338-7114 2013-06-18
1790306066 Banner Primary Care Physicians Arizona LLC Clinic/Center 501 N Navajo Dr, Page, AZ 86040-0959 2020-04-28
1124467600 Banner Primary Care Physicians Arizona LLC Durable Medical Equipment & Medical Supplies 20751 W Market St, Buckeye, AZ 85396-7893 2013-06-18
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
1710234703 Banner Primary Care Physicians Arizona LLC Clinic/Center 601 N Navajo, Page, AZ 86040 2012-08-08
1649544362 Banner Primary Care Physicians Arizona LLC Clinical Medical Laboratory 13640 N Plaza Del Rio Blvd, Ste 102, Peoria, AZ 85381-4846 2012-02-27
1659640902 Banner Primary Care Physicians Arizona LLC Clinic/Center 2474 E Hunt Hwy, Suite 10, San Tan Valley, AZ 85143-5210 2011-12-15
1417238908 Banner Primary Care Physicians Arizona LLC Clinic/Center 3336 E Chandler Heights Rd, Ste A-101, Gilbert, AZ 85298-4259 2011-08-29

Office Location

Street Address 13640 N PLAZA DEL RIO BLVD
City PEORIA
State AZ
Zip Code 85381-4846

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649279654 John Peter Kieley Internal Medicine 13640 N Plaza Del Rio Blvd, Suite 220, Peoria, AZ 85381-4846 2005-07-20
1366913618 Krishna Keshav Nurse Practitioner 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 2018-12-16
1871062158 Samantha Mae Boartfield Pharmacist 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 2018-11-16
1790236487 Israa Al-sayyed Physician Assistant 13640 N Plaza Del Rio Blvd, Ste 340, Peoria, AZ 85381-4846 2016-10-18
1326408444 Banner Pharmacy Services LLC Pharmacy 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 2016-03-02
1801278981 Shin Jung Yoon Family Medicine 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 2015-06-24
1831584044 Michelle Obillo Prestoza Family Medicine 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 2015-04-03
1578967162 Tina Marino Nurse Practitioner 13640 N Plaza Del Rio Blvd, Suite 230, Peoria, AZ 85381-4846 2014-10-10
1396156139 Banner Health Non-Pharmacy Dispensing Site 13640 N Plaza Del Rio Blvd, 3rd Floor, Suite 350, Peoria, AZ 85381-4846 2014-05-14
1932522836 Deborah L. Burns Registered Nurse 13640 N Plaza Del Rio Blvd, 210, Peoria, AZ 85381-4846 2014-01-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932712122 Vicki L Grenier Registered Nurse 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 2020-08-26
1568934107 Earthwalk Wellness Group, LLC Social Worker 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 2018-12-20
1316412059 John & Biljana Feeley Dba J & B Assisted Living IIi Inc Community Based Residential Treatment Facility, Mental Illness 7331 W Sweetwater Avenue, Peoria, AZ 85381 2018-10-09
1467958611 Arizona Community Pharmacy Pharmacy 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 2018-04-04
1083112106 Marissa Lynn Desjardins Physical Therapist 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 2018-01-23
1235651399 Power Back Batteries LLC Durable Medical Equipment & Medical Supplies 9054 West Lisbon Ave, Peoria, AZ 85381 2017-07-11
1457897027 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 7524 W. Alexandria Way, Peoria, AZ 85381 2017-01-06
1386023448 Scott Boone Registered Nurse 7715 W Watson Ln, Peoria, AZ 85381 2015-05-22
1881084838 Pinnacle Women's Center LLC Obstetrics & Gynecology 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 2015-01-29
1245637081 Kathi Locke Counselor 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 2014-11-21
Find all providers in zip 85381

Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528690112 Sg Mechanical LLC Durable Medical Equipment & Medical Supplies 8550 N 91st Ave Ste E-51, Peoria, AZ 85345-8311 2020-02-11
1285272435 Margaret A. Withrow, Dpm, PC Durable Medical Equipment & Medical Supplies 13660 N 94th Dr Ste A3, Peoria, AZ 85381-4836 2019-12-18
1003462581 Bump Boxes, Inc Durable Medical Equipment & Medical Supplies 7719 N Pioneer Ln, Peoria, IL 61615-1910 2019-08-12
1023663010 Kokopelli Eye Care PC Durable Medical Equipment & Medical Supplies 9151 W Thunderbird Rd Ste 104, Peoria, AZ 85381-4906 2019-08-06
1851943286 Banner Home Care Arizona Durable Medical Equipment & Medical Supplies 14131 N Rio Vista Blvd Ste 7, Peoria, AZ 85381-4917 2019-07-16
1093370108 Osf Healthcare System Durable Medical Equipment & Medical Supplies 1800 N Knoxville Ave Ste 104, Peoria, IL 61603-3028 2019-05-03
1023584810 Homestead Orthotics LLC Durable Medical Equipment & Medical Supplies 9401 W Thunderbird Rd Ste 187, Peoria, AZ 85381-4210 2018-10-18
1326552977 Triage Medical Supply LLC Durable Medical Equipment & Medical Supplies 10434 W Redbird Rd, Peoria, AZ 85383-3578 2017-11-17
1235651399 Power Back Batteries LLC Durable Medical Equipment & Medical Supplies 9054 West Lisbon Ave, Peoria, AZ 85381 2017-07-11
1144695883 Game Day Medical, LLC Durable Medical Equipment & Medical Supplies 3004 W Playden Dr, Peoria, IL 61615-7505 2015-12-07
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 85381

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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