BANNER BAYWOOD MEDICAL CENTER (NPI# 1194758284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194758284 |
| Entity Type | Organization |
| Organization Name | BANNER BAYWOOD MEDICAL CENTER |
| Practice Address |
6644 E Baywood Ave Mesa AZ 85206-1747 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 4803212000 |
| Practice Fax Number | 4803214198 |
| Mailing Telephone | 6027474000 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2014-08-18 |
| 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 | 282N00000X | General Acute Care Hospital | H155 | AZ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 309725 | 05 | |
| AZ | 021618 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659574069 | Banner Baywood Medical Center | Rehabilitation Unit | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2007-06-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BANNER BAYWOOD MEDICAL CENTER | 6644 E Baywood Ave, Mesa, AZ 85206-1747 |
| Street Address |
6644 E BAYWOOD AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060233 | Ashley M Reed | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2005-08-12 |
| 1215546882 | Kylee A Read | Occupational Therapist | 6644 E Baywood Ave, Mesa, AZ 85206 | 2020-07-29 |
| 1629696638 | Barbara Izabela Rutkowski | Nurse Practitioner | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-07-07 |
| 1518580844 | Aisha Bales | Registered Nurse | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-05-21 |
| 1366064156 | Michael Martin Moreau | Registered Nurse | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-05-14 |
| 1316568454 | Bhagyashree Barlingay M D P C | Internal Medicine | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-04-29 |
| 1255967394 | Garet Joshua Powell | Nurse Anesthetist, Certified Registered | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-03-20 |
| 1912547597 | Derek Ryan Allen | Nurse Anesthetist, Certified Registered | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-01-10 |
| 1417518747 | Mary Eileen Kumah Russell | Nurse Practitioner | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2019-06-26 |
| 1891250759 | Alison Renae Arpaia | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1134552367 | Anelime Emergency Medical Services | General Acute Care Hospital | 9341 E Mckellips Rd, Mesa, AZ 85207-2632 | 2013-08-12 |
| 1669639639 | Apache Junction Hospital, LLC | General Acute Care Hospital | 515 N Mesa Drive, Mesa, AZ 85201-5914 | 2008-05-19 |
| 1396745832 | Arizona Spine and Joint Hospital LLC | General Acute Care Hospital | 4620 E. Baseline Road, Mesa, AZ 85206 | 2005-07-27 |
| 1023499126 | Allied Internal Medicine Pllc | General Acute Care Hospital | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2015-06-15 |
| 1306265145 | Maricopa County Special Health Care District | General Acute Care Hospital | 59 S Hibbert, Mesa, AZ 85210-1414 | 2014-04-09 |
| 1538588389 | Maricopa County Special Heallth Care District | General Acute Care Hospital | 4330 E University Dr, Suite B, Mesa, AZ 85205-7004 | 2014-04-09 |
| 1093149692 | Kevin Warren | General Acute Care Hospital | 1520 S Dobson Rd, Suite 203, Mesa, AZ 85202-4725 | 2013-08-30 |
| 1235212721 | Mountain Vista Medical Center Lp | General Acute Care Hospital | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2006-10-20 |
| Find all providers in MESA | ||||
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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.