BANNER -- UNIVERSITY PHYSICIAN SPECIALISTS LLC (NPI# 1417312760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417312760 |
Entity Type | Organization |
Organization Name | BANNER -- UNIVERSITY PHYSICIAN SPECIALISTS LLC |
Practice Address |
501 N Navajo Dr Page AZ 86040 |
Mailing Address |
2901 N Central Ave Phoenix AZ 85012-2700 |
Practice Telephone | 9286450131 |
Practice Fax Number | 9286453549 |
Enumeration Date | 2015-12-30 |
Last Update Date | 2015-12-30 |
Authorized Official Name | DENNIS DAHLEN (SR VP FINANCE) |
Authorized Official Telephone | 6027474000 |
Is Organization Subpart | Y |
Parent Organization Name | BANNER -- UNIVERSITY MEDICAL GROUP |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063887727 | Banner -- University Physician Specialists LLC | Clinic/Center | 17900 N Porter Rd, Maricopa, AZ 85138-4228 | 2015-12-07 |
1437529245 | Banner -- University Physician Specialists LLC | Clinic/Center | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2015-10-06 |
Street Address |
501 N NAVAJO DR |
City | PAGE |
State | AZ |
Zip Code | 86040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003140443 | Brenna Katherine Yursik | Emergency Medicine | 501 N Navajo Dr, Page, AZ 86040-1447 | 2009-10-01 |
1790306066 | Banner Primary Care Physicians Arizona LLC | Clinic/Center | 501 N Navajo Dr, Page, AZ 86040-0959 | 2020-04-28 |
1033730429 | Banner Physician Specialists Arizona LLC | Clinic/Center | 501 N Navajo Dr, Page, AZ 86040-0959 | 2020-04-27 |
1295130961 | Spencer Andersen | Surgery | 501 N Navajo Dr, Page, AZ 86040 | 2014-10-23 |
1104151786 | Emergency Professional Services, PC | Emergency Medicine | 501 N Navajo Dr, Page, AZ 86040-9998 | 2009-10-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881251437 | Amy Jean Snell | Nurse Practitioner | 501 N. Navajo Dr., Page, AZ 86040 | 2019-05-20 |
1740748441 | Cameron Sidney Shick | Pharmacist | 501 N Navajo Drive, Page, AZ 86040 | 2019-03-12 |
1891250338 | Samantha Elizabeth Cannavo | Specialist/Technologist | 1801 N Navajo Dr., Page, AZ 86040 | 2019-02-08 |
1023593282 | Sally Ann Breen | Nurse Practitioner | 440 N Navajo Drive, Page, AZ 86040 | 2018-10-03 |
1114447653 | Naquita Ahern | Physical Therapist | 501 N Navajo Rd, Page, AZ 86040 | 2017-06-26 |
1396270443 | Peter Richard Jones | Physical Therapy Assistant | 43 Sixth Ave, Page, AZ 86040 | 2017-04-26 |
1407392590 | Lake Powell Dental Center, PC | Dentist | 436 Vista Avenue, Box 1956, Page, AZ 86040 | 2017-01-12 |
1992257695 | Theodore Martin | Physical Therapist | 39 6th Avenue, Page, AZ 86040 | 2016-10-28 |
1750833539 | Jacqueline Joyce Muthanga Kigundu | Nurse Practitioner | 440 North Navajo Dr, Page, AZ 86040 | 2016-10-27 |
1821540899 | George Wertz | Physical Therapist | 39 6th Ave, Page, AZ 86040 | 2016-10-26 |
Find all providers in zip 86040 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366799355 | Banner Physician Specialists Arizona LLC | Clinic/Center | 601 N Navajo, Page, AZ 86040 | 2012-08-08 |
1891311171 | Indigo Healthcare LLC | Clinic/Center | 47 6th Ave, Page, AZ 86040-0470 | 2020-06-22 |
1790306066 | Banner Primary Care Physicians Arizona LLC | Clinic/Center | 501 N Navajo Dr, Page, AZ 86040-0959 | 2020-04-28 |
1033730429 | Banner Physician Specialists Arizona LLC | Clinic/Center | 501 N Navajo Dr, Page, AZ 86040-0959 | 2020-04-27 |
1316294242 | Banner Hospital Based Physicians Arizona LLC | Clinic/Center | 501 N Navajo, Page, AZ 86040 | 2012-08-09 |
1710234703 | Banner Primary Care Physicians Arizona LLC | Clinic/Center | 601 N Navajo, Page, AZ 86040 | 2012-08-08 |
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---|---|---|---|---|
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1659970242 | Orthopedic Specialists of North America Pllc | Clinic/Center | 33300 N 32nd Ave, Phoenix, AZ 85085-8877 | 2020-10-23 |
1689273542 | Orthopedic Specialists of North America Pllc | Clinic/Center | 33400 N 32nd Ave Fl 1, Phoenix, AZ 85085-8876 | 2020-10-21 |
1629676317 | Bethel Hills Integrated Healthcare | Clinic/Center | 13838 S 46th Pl Ste 300, Phoenix, AZ 85044-7804 | 2020-10-14 |
1639786585 | Crossover Health Medical Group | Clinic/Center | 1847 E Southern Ave Ste 3, Tempe, AZ 85282-5881 | 2020-09-24 |
1821605775 | Crossover Health Medical Group | Clinic/Center | 5251 W Campbell Ave Ste 200, Phoenix, AZ 85031-1719 | 2020-09-24 |
1649887597 | Crossover Health Medical Group | Clinic/Center | 8343 W Van Buren St Bldg C-2, Tolleson, AZ 85353-3225 | 2020-09-24 |
1235745464 | Vasco Healthcare Inc | Clinic/Center | 2110 W 24th St Ste A, Yuma, AZ 85364-8878 | 2020-09-22 |
1265048490 | Vasco Healthcare Inc | Clinic/Center | 8952 E Desert Cove Ave Ste 204, Scottsdale, AZ 85260-6777 | 2020-09-22 |
1942816160 | Vasco Healthcare Inc | Clinic/Center | 13026 W Rancho Santa Fe Blvd Ste B100, Avondale, AZ 85392-1712 | 2020-09-22 |
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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.