BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC (NPI# 1194164681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194164681 |
| Entity Type | Organization |
| Organization Name | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| Practice Address |
9780 S Estrella Pkwy Goodyear AZ 85338-7114 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 6234748101 |
| Mailing Telephone | 6027474000 |
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
9780 S ESTRELLA PKWY |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-7114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629555149 | Kimberly Ann Thompson | Nurse Practitioner | 9780 S Estrella Pkwy, Goodyear, AZ 85338-7114 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| 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 |
|---|---|---|---|---|
| 1285082388 | Arizona Spine and Pain Specialists LLC | Durable Medical Equipment & Medical Supplies | 1325 N Litchfield Rd Ste 201, Goodyear, AZ 85395-1213 | 2016-05-31 |
| 1770830341 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9800 S Estrella Pkwy, Goodyear, AZ 85338-7141 | 2012-08-13 |
| 1457668402 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 9890 S Estrella Pkwy, Goodyear, AZ 85338-7141 | 2010-09-10 |
| 1215265145 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1654 N Pebble Creek Pkwy, Goodyear, AZ 85395-2571 | 2009-12-04 |
| 1194882654 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 14200 W Indian School Rd, Goodyear, AZ 85395-9248 | 2007-01-03 |
| 1902911928 | Wells Pharmacy | Durable Medical Equipment & Medical Supplies | 247 N Litchfield Rd, Goodyear, AZ 85338-1227 | 2006-08-20 |
| 1538174966 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 387 N Estrella Pkwy, Goodyear, AZ 85338-9298 | 2006-07-31 |
| 1598770844 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3361 N Litchfield Rd, Goodyear, AZ 85395-2125 | 2006-07-29 |
| 1811919699 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 1515 N Litchfield Rd, Goodyear, AZ 85395-1237 | 2006-07-24 |
| 1629000450 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 440 N Estrella Pkwy, Goodyear, AZ 85338-3024 | 2006-07-06 |
| Find all providers in GOODYEAR | ||||
Please comment or provide details below to improve the information on BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC.
| 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.