BANNER -- UNIVERSITY MEDICAL GROUP


Address: 535 N Wilmot Rd, Tucson, AZ 85711-2600
Phone: 5206941234

BANNER -- UNIVERSITY MEDICAL GROUP (NPI# 1568818649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568818649
Entity Type Organization
Organization Name BANNER -- UNIVERSITY MEDICAL GROUP
Other Organization Name WHOLE HEALTH CLINIC
Practice Address 535 N Wilmot Rd
Tucson
AZ 85711-2600
Mailing Address 2901 N Central Ave
Phoenix
AZ 85012-2700
Practice Telephone 5206941234
Enumeration Date 2016-05-09
Last Update Date 2016-06-06
Authorized Official Name DENNIS DAHLEN (SR VP FINANCE)
Authorized Official Telephone 6027474000
Is Organization Subpart Y
Parent Organization Name BANNER HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Whole Health Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932708328 Banner -- University Medical Group Clinic/Center 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 2020-10-18
1578910485 Banner -- University Medical Group Clinic/Center 535 N Wilmot Rd, Tucson, AZ 85711-2600 2016-05-20
1508809427 Banner -- University Medical Group Allergy & Immunology 2901 N Central Ave, Phoenix, AZ 85012-2700 2006-06-14

Office Location

Street Address 535 N WILMOT RD
City TUCSON
State AZ
Zip Code 85711-2600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487626222 Brent Jon Barber Pediatrics 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 2006-02-06
1982234068 Jeffrey Scott Dixon Social Worker 535 N Wilmot Rd, Tucson, AZ 85711-2600 2020-01-17
1285142638 Matthew Moffitt Psychologist 535 N Wilmot Rd, Tucson, AZ 85711-2600 2018-01-19
1689189052 Lisa Ann Rauch Counselor 535 N Wilmot Rd, Tucson, AZ 85711-2600 2017-12-07
1578910485 Banner -- University Medical Group Clinic/Center 535 N Wilmot Rd, Tucson, AZ 85711-2600 2016-05-20
1760847180 Carol Watters Social Worker 535 N Wilmot Rd, Tucson, AZ 85711-2600 2015-12-30
1255717773 Jennie Jacob Physical Therapist 535 N Wilmot Rd, Children's Multispecialty Center: Newborn Follow Up, Tucson, AZ 85711-2600 2015-08-06
1871994350 Terry Eisenberg Carrilio Social Worker 535 N Wilmot Rd, Tucson, AZ 85711-2600 2014-09-15
1912320110 Allison Nicole Crawford Nurse Practitioner 535 N Wilmot Rd, Ste 101, Tucson, AZ 85711 2014-01-24
1629206115 Victoria Ana Sanguineti Internal Medicine 535 N Wilmot Rd, Suite 101, Tucson, AZ 85711-2600 2009-06-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356959951 Ridgeline Practice Counselor 4625 N Broadway, Suite 105, Tucson, AZ 85711 2020-07-20
1881229946 Famiglia Amore II LLC Assisted Living Facility 632 N. Wilmot, Tucson, AZ 85711 2020-03-10
1992343362 Laurie Anne Mcmahon Family Medicine 899 N. Wilmot, Building B, Tucson, AZ 85711 2019-12-17
1063060093 Sharese Ann Bailey Counselor 300 S Craycroft Rd, Tucson, AZ 85711 2019-09-03
1467940015 Jin Zhang Ophthalmology 655 N Alvernon Way Ste 204, Tucson, AZ 85711 2018-04-30
1447779525 Catherine Butler Hobart Pharmacist 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 2017-09-11
1689196420 Cope Community Services, Inc. Case Management 924 N Alvernon Way, Tucson, AZ 85711 2017-07-13
1124561477 Regina Maendler Behavioral Analyst 630 N. Craycroft Rd, Tucson, AZ 85711 2016-11-18
1881140184 Elleda Linsmeyer Speech-Language Pathologist St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 2016-08-28
1962856260 Csl-tucson, LLC Assisted Living Facility 1020 N. Woodland Avenue, Tucson, AZ 85711 2016-04-22
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093240020 Cottonwood Tucson Outpatient Services Clinic/Center 4110 W Sweetwater Dr Bldg 16, Tucson, AZ 85745-9348 2017-04-27
1760916407 Grace Home Assisted Living 1 Clinic/Center 2301 S Quail Hollow Dr, Tucson, AZ 85710-7986 2017-04-19
1730534405 New Horizons Behavioral Health Services Inc Clinic/Center 5849 E 5th St, Tucson, AZ 85711-2403 2016-04-29
1205293487 Neuropco LLC Clinic/Center 4061 E Via Del Vireo, Tucson, AZ 85718-3311 2016-01-20
1265806186 Banner -- University Medicine Crisis Response Center LLC Clinic/Center 2802 E District St Fl 1, Tucson, AZ 85714-2081 2015-11-16
1457755183 Barrabee Therapy LLC Clinic/Center 2299 W. Camino San Acacio, Tucson, AZ 85741-3696 2014-10-09
1487984720 Desert Milagros, LLC Clinic/Center 3438 N. Country Club Road, Tucson, AZ 85716-1257 2010-01-09
1588814685 Valerie M. Kading, Np, P.l.l.c Clinic/Center 6969 E Sunrise Dr, Suite 202, Tucson, AZ 85750-0720 2008-09-24
1770742959 University Physicians Healthcare Clinic/Center 2800 E. Ajo Way, Tucson, AZ 85713-3204 2008-06-03
1033319751 Codac Behavioral Health Services of Pima County, Inc. Clinic/Center 721 N 4th Ave, Tucson, AZ 85705-8446 2007-07-20
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Competitor

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City TUCSON
Zip Code 85711

Improve Information

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Dataset Information

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.

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