BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC (NPI# 1124467600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124467600 |
| Entity Type | Organization |
| Organization Name | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| Practice Address |
20751 W Market St Buckeye AZ 85396-7893 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 6234635140 |
| Practice Fax Number | 6234635128 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |
| Authorized Official Name | DENNIS DAHLEN (SR. VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| 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 |
| 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 |
| 1093083503 | Banner Primary Care Physicians Arizona LLC | Durable Medical Equipment & Medical Supplies | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2011-12-12 |
| 1417238908 | Banner Primary Care Physicians Arizona LLC | Clinic/Center | 3336 E Chandler Heights Rd, Ste A-101, Gilbert, AZ 85298-4259 | 2011-08-29 |
| Street Address |
20751 W MARKET ST |
| City | BUCKEYE |
| State | AZ |
| Zip Code | 85396-7893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053536805 | Mark J Pyle | Pediatrics | 20751 W Market St, Buckeye, AZ 85396-7893 | 2007-04-16 |
| 1053840926 | Esther Wambura Kamau | Nurse Practitioner | 20751 W Market St, Buckeye, AZ 85396-7893 | 2017-06-05 |
| 1962947770 | Randi Michelle Herman | Registered Nurse | 20751 W Market St, Buckeye, AZ 85396-7893 | 2017-01-03 |
| 1285035584 | Paul Christian Schrickel | Nurse Practitioner | 20751 W Market St, Buckeye, AZ 85396-7893 | 2014-09-06 |
| 1174842884 | Carlos Jose Ventura | Internal Medicine | 20751 W Market St, Buckeye, AZ 85396-7893 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
| 1659875698 | Arizona Dental Professionals, P.C. | Dentist | 4120 N 197th Ave, Buckeye, AZ 85396 | 2018-03-23 |
| 1407365083 | Ashley Nicole Brezovsky | Specialist/Technologist | 21188 W Granada Rd, Buckeye, AZ 85396 | 2017-09-26 |
| 1205219391 | Judy Jennings | Home Health Aide | 20470 W Delaney Dr, Buckeye, AZ 85396 | 2015-07-07 |
| 1407003650 | Brent H Bethers | Dentist | 20738 W Legend Trl, Buckeye, AZ 85396 | 2008-08-19 |
| 1437297256 | Patrick Nemechek | Internal Medicine | 4252 N. Verrado Way, Buckeye, AZ 85396 | 2007-02-02 |
| 1164748612 | Julie Beth Stavinoha | General Practice | 20955 W Hamilton St, Buckeye, AZ 85396-1518 | 2010-04-08 |
| 1629234828 | Debra Muckler | Physical Therapist | 2799 N Heritage St, Buckeye, AZ 85396-1520 | 2008-08-06 |
| 1619386596 | Professional Nutrition Consulting, Pllc | Clinic/Center | 2886 N Heritage St, Buckeye, AZ 85396-1522 | 2014-08-05 |
| 1811396997 | Elisa Anne Rodriguez | Nutritionist | 2886 N Heritage St, Buckeye, AZ 85396-1522 | 2014-08-14 |
| Find all providers in zip 85396 | ||||
| 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 |
|---|---|---|---|---|
| 1427282516 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 25073 W Southern Ave, Buckeye, AZ 85326-1252 | 2009-05-05 |
| 1417051301 | German Dobson Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 21087 W Main St, Buckeye, AZ 85396-3500 | 2006-09-12 |
| 1023050606 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 1300 S Watson Rd, Buckeye, AZ 85326-6303 | 2006-06-11 |
| 1407053747 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1060 S Watson Rd, Buckeye, AZ 85326-3371 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870411 | United Respiratory Services LLC | Durable Medical Equipment & Medical Supplies | 1275 E Florence Blvd Ste 104, Casa Grande, AZ 85122-4268 | 2020-10-29 |
| 1760080238 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3807 N 7th St Ste P, Phoenix, AZ 85014-5005 | 2020-10-15 |
| 1891302790 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 | 2020-09-25 |
| 1528675469 | Antelope Works, LLC | Durable Medical Equipment & Medical Supplies | 2601 N 3rd St Ste 200, Phoenix, AZ 85004-1145 | 2020-09-24 |
| 1679189765 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 3130 E Baseline Rd Ste 101, Mesa, AZ 85204-7290 | 2020-09-23 |
| 1336753540 | Smith's Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 4075 E Williams Field Rd, Gilbert, AZ 85295-1142 | 2020-09-04 |
| 1639782592 | Safe Hands LLC | Durable Medical Equipment & Medical Supplies | 920 W Chandler Blvd Ste 3, Chandler, AZ 85225-2526 | 2020-08-28 |
| 1366055642 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 463 S Lake Powell Blvd Ste P, Page, AZ 86040-0856 | 2020-08-26 |
| 1528678901 | Maurice Valeriano | Durable Medical Equipment & Medical Supplies | 505 W 8th Ave Ste 12a, Mesa, AZ 85210-3541 | 2020-07-31 |
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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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.