BANNER ARIZONA MEDICAL CLINIC LTD (NPI# 1568593325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568593325 |
| Entity Type | Organization |
| Organization Name | BANNER ARIZONA MEDICAL CLINIC LTD |
| Practice Address |
10401 W Thunderbird Blvd Ste 209 Sun City AZ 85351-3004 |
| Mailing Address |
13640 N Plaza Del Rio Blvd Peoria AZ 85381-4846 |
| Practice Telephone | 6238763870 |
| Practice Fax Number | 6238150087 |
| Mailing Telephone | 6238763800 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-09-19 |
| Authorized Official Name | MARGARET BURKE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6238763967 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | OTC3928 | AZ | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | OTC3928 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 516437 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780715698 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 9165 W Thunderbird Road, Peoria, AZ 85381 | 2007-03-09 |
| 1952432866 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 14416 W Meeker Blvd, Sun City West, AZ 85375-5284 | 2007-03-09 |
| 1225169188 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 14420 W Meeker Blvd, Sun City West, AZ 85375-5286 | 2007-03-09 |
| 1578694055 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2007-03-08 |
| 1245361773 | Banner Arizona Medical Clinic Ltd | Clinical Medical Laboratory | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2007-03-08 |
| 1447381207 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 14418 W Meeker Blvd, Sun City West, AZ 85375-5283 | 2007-03-07 |
| 1487785002 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 13760 N 93rd Ave, Peoria, AZ 85381-4201 | 2007-03-07 |
| 1750347936 | Banner Arizona Medical Clinic Ltd | Clinic/Center | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2006-04-25 |
| Street Address |
10401 W THUNDERBIRD BLVD STE 209 |
| City | SUN CITY |
| State | AZ |
| Zip Code | 85351-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275526139 | Alice M Kraft | Dietitian, Registered | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2005-08-25 |
| 1528671948 | Joseph Christopher Marranca | Physician Assistant | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2020-08-25 |
| 1740814920 | Loren Kesti | Registered Nurse | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2020-02-26 |
| 1366092082 | Regina M Valenzuela | Nurse Practitioner | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2019-09-14 |
| 1497302764 | Rim Mekonnen Hadgu | Pharmacist | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2019-08-21 |
| 1124670740 | Noemi Frechette | Physician Assistant | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2019-07-13 |
| 1649833716 | Francisca Melissa Olibarria | Registered Nurse | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2019-04-15 |
| 1235691387 | Jessica Nicole Oliverson Abel | Physician Assistant | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2019-04-05 |
| 1053880989 | Deanna Kay Villalino | Nurse Anesthetist, Certified Registered | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2018-11-20 |
| 1962977710 | Alaunus Anesthesia Plc | Anesthesiology | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2018-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003566 | T&h Hearing LLC | Hearing Aid Equipment | 13616 N. 99th Ave., Sun City, AZ 85351 | 2019-09-20 |
| 1881247682 | Amanda M Neri | Physician Assistant | 10401 W. Thunderbird Blvd Md Anderson - Banner Boswell, Sun City, AZ 85351 | 2019-07-20 |
| 1649822313 | Azmed Rehab LLC | Family Medicine | 14281 North Del Webb Blvd, Sun City, AZ 85351 | 2019-07-12 |
| 1982182267 | Akdhc, LLC | Internal Medicine | 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 | 2018-07-30 |
| 1871084814 | Amy Mikulec | Physical Therapist | Banner Physical Therapy and Rehab Boswell, 10503 W Thunderbird Blvd Suite 263a, Sun City, AZ 85351 | 2018-05-25 |
| 1194238345 | Lorie Jo Matthews | Nurse Practitioner | 10494 W Thunderbird Blvd Ste 102, Sun City, AZ 85351 | 2017-11-09 |
| 1184153363 | Susan Jane Hockman | Registered Nurse | 14601 N Delwebb Blvd, Sun City, AZ 85351 | 2017-06-09 |
| 1043769169 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 13203 N 103rd Ave Ste J1&j2, Sun City, AZ 85351 | 2016-09-30 |
| 1033563002 | Vittoria Giovannucci | Technician/Technologist | 10503 W Thunderbird Blvd Ste 101a, Sun City, AZ 85351 | 2016-04-15 |
| 1669858379 | Qui Nguyen | Pharmacist | 10660 Nw Grand Ave, Sun City, AZ 85351 | 2015-08-04 |
| Find all providers in zip 85351 | ||||
| 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 |
|---|---|---|---|---|
| 1871124206 | Arizona Spine and Pain Specialists LLC | Durable Medical Equipment & Medical Supplies | 14420 W Meeker Blvd Ste 211, Sun City, AZ 85375-5288 | 2020-02-04 |
| 1144797192 | Pongratz Orthotics & Prosthetics, Inc | Durable Medical Equipment & Medical Supplies | 13203 N 103rd Ave Ste J1, Sun City, AZ 85351-3029 | 2018-10-29 |
| 1205256534 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 19403 N R H Johnson Blvd, Sun City, AZ 85375-4404 | 2014-04-25 |
| 1114250537 | Pharm Rx Management | Durable Medical Equipment & Medical Supplies | 10830 W Acacia Dr, Sun City, AZ 85373-1556 | 2009-09-16 |
| 1306078480 | Mw Associates, LLC. | Durable Medical Equipment & Medical Supplies | 28075 Bradley Rd, Sun City, CA 92586-2207 | 2009-08-21 |
| 1487842811 | Unique Care Medical LLC | Durable Medical Equipment & Medical Supplies | 10745 Grand Ave, Sun City, AZ 85351-3449 | 2007-10-10 |
| 1134293020 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 13925 W Meeker Blvd Ste 5, Sun City, AZ 85375-4431 | 2006-11-20 |
| 1881768778 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 10615 W Thunderbird Blvd Ste D165, Sun City, AZ 85351-3033 | 2006-11-20 |
| 1184709248 | Technomed Homecare Inc | Durable Medical Equipment & Medical Supplies | 27188 Sun City Blvd, Sun City, CA 92586 | 2006-10-26 |
| 1235214073 | Barnet Dulaney Perkins Eye Center II Pllc | Durable Medical Equipment & Medical Supplies | 14820 N Del Webb Blvd, Sun City, AZ 85351-2146 | 2006-10-26 |
| Find all providers in SUN CITY | ||||
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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.