BANNER ESTRELLA MEDICAL CENTER (NPI# 1275566200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275566200 |
| Entity Type | Organization |
| Organization Name | BANNER ESTRELLA MEDICAL CENTER |
| Practice Address |
9201 W Thomas Rd Phoenix AZ 85037-3332 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 6233274000 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-05-07 |
| 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 | H3690 | AZ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 920620 | 05 | |
| AZ | 924862 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538584628 | Banner Estrella Medical Center | Nursing Care | 9301 W. Thomas Rd., Banner Estrella Medical Center, Phoenix, AZ 85037-4341 | 2014-02-26 |
| Street Address |
9201 W THOMAS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598758450 | Sohail Mohammad Alam | Internal Medicine | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2005-08-25 |
| 1033721071 | Sean Michael Oney | Registered Nurse | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2020-08-20 |
| 1992335699 | Amy Lynn Huston | Nurse Practitioner | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2020-01-22 |
| 1306496302 | Haley Lynn Crise | Registered Nurse | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2019-09-12 |
| 1124677869 | Kellie Lorraine Cox | Registered Nurse | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2019-09-05 |
| 1942860895 | Madantschi,md LLC | Internal Medicine | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2019-06-13 |
| 1346718293 | Clarissa Vaughn | Student in an Organized Health Care Education/Training Program | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2018-11-08 |
| 1912427758 | Shane Andrew Mcintyre | Internal Medicine | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2017-06-22 |
| 1780104554 | A.k. Mccoy Sorensen Pllc | Clinic/Center | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2017-06-22 |
| 1033647573 | Renato Vieira | Student in an Organized Health Care Education/Training Program | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2017-05-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
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| 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 |
|---|---|---|---|---|
| 1265063010 | Honorhealth | General Acute Care Hospital | 33400 N 32nd Ave, Phoenix, AZ 85085-8876 | 2020-01-30 |
| 1891114641 | Maricopa County Special Health Care District | General Acute Care Hospital | 5650 S 35th Ave, Phoenix, AZ 85041 | 2014-04-09 |
| 1861752958 | Trans Aid LLC | General Acute Care Hospital | 4617 W Venture Ct, Phoenix, AZ 85086-1421 | 2012-05-22 |
| 1124354865 | Heidrich, Md | General Acute Care Hospital | 1601 E Highland Ave Apt 1138, Phoenix, AZ 85016-4684 | 2009-11-01 |
| 1598927592 | Banner Good Samaritan | General Acute Care Hospital | 1441 North 12th Street, Phoenix, AZ 85006 | 2008-06-30 |
| 1699944421 | Ellie Maldonado | General Acute Care Hospital | 7344 N 22nd St, Phoenix, AZ 85020-4753 | 2008-02-26 |
| 1720297377 | John W. Bass Md | General Acute Care Hospital | 2398 E Camelback Rd Ste 980, Phoenix, AZ 85016-9019 | 2007-05-21 |
| 1881800464 | Abe Goldstein, Md PC | General Acute Care Hospital | 2525 W Beryl Ave, Phoenix, AZ 85021-1606 | 2007-05-14 |
| 1891805735 | Department of Veteran Affairs | General Acute Care Hospital | 650 E Indian School Road, Phoenix, AZ 85012-1892 | 2006-08-30 |
| 1598749269 | Arizina Heart Hospital, LLC | General Acute Care Hospital | 1930 East Thomas Road, Phoenix, AZ 85016-7711 | 2005-12-05 |
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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.