BANNER HEALTH NETWORK (NPI# 1649559477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649559477 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH NETWORK |
| Practice Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 6027474000 |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |
| Authorized Official Name | DENNIS E DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Banner Health Network | 2901 N Central Ave Ste 160, Phoenix, AZ 85012 |
| Street Address |
1441 N 12TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134181654 | Wendy Carol Hershey | Physician Assistant | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2006-04-03 |
| 1942818232 | Bailey Nicole Bylow | Nurse Practitioner | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-07-22 |
| 1386264596 | Lelan Dao Mccann | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-17 |
| 1386264646 | Zia William Kanani | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-16 |
| 1528688868 | Mahala Ashcherkin | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-16 |
| 1134748551 | Rachel Weigel | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-15 |
| 1871112268 | Bryan Grover | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-15 |
| 1063031300 | Kathleen Langford Curley | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-15 |
| 1619596988 | Nancy Lopez | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-15 |
| 1437778701 | Lucy Cheng | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386049419 | Linda L Austin, Md PC | Exclusive Provider Organization | 1301 E Mcdowell Rd Ste 103, Phoenix, AZ 85006-2605 | 2014-10-31 |
| 1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
| 1477736700 | Vision 21 Managed Eye Care of Tampa Bay, Inc | Exclusive Provider Organization | 3033 N 44th St, Ste 270, Phoenix, AZ 85018-7226 | 2007-12-10 |
| 1003451386 | Akos Md Ipa LLC | Exclusive Provider Organization | 20565 N 19th Ave, Phoenix, AZ 85027-3563 | 2019-11-11 |
| 1295278315 | Primary Family Dentistry | Exclusive Provider Organization | 5527 N 27th Ave, Phoenix, AZ 85017-2602 | 2016-11-21 |
| 1245476092 | Rajiv Kwatra Md PC | Exclusive Provider Organization | 1331 N 7th St, Suite 290, Phoenix, AZ 85006-2754 | 2008-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299101 | Lifestyles | Exclusive Provider Organization | 4385 E Wild Elk Trl, Flagstaff, AZ 86004-7921 | 2016-12-14 |
| 1356794150 | David Ryan Schaner | Exclusive Provider Organization | 12533 W Coldwater Springs Blvd, Avondale, AZ 85323-8320 | 2016-07-15 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1508228701 | Sfc Shane | Exclusive Provider Organization | 460 E Osage Ave, 1, Apache Junction, AZ 85119-3748 | 2016-03-25 |
| 1568845592 | Desert Journey, LLC | Exclusive Provider Organization | 904 E Prescott Pl, Chandler, AZ 85249-5131 | 2015-07-08 |
| 1578979118 | White Mountain Surgical Specialist | Exclusive Provider Organization | 2650 E Show Low Lake Rd Ste 2, Show Low, AZ 85901-7955 | 2014-07-03 |
| 1023441987 | New Life Care Center Int | Exclusive Provider Organization | 650 S Country Club Dr Apt 125, Mesa, AZ 85210-2341 | 2013-08-14 |
| 1902246291 | Steven R Holt Od Pllc | Exclusive Provider Organization | 15341 W Waddell Rd Ste 106, Surprise, AZ 85379-5169 | 2013-07-01 |
| 1598009722 | Jeffery B Bushman Do PC | Exclusive Provider Organization | 905 N Bowie Ave, Willcox, AZ 85643-1145 | 2012-11-10 |
| 1497038871 | Goodwill Industries -cottonwood | Exclusive Provider Organization | 1500 E Mingus Ave, Cottonwood, AZ 86326-3849 | 2011-09-22 |
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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.