BANNER OCCUPATIONAL HEALTH ARIZONA LLC (NPI# 1649813445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649813445 |
| Entity Type | Organization |
| Organization Name | BANNER OCCUPATIONAL HEALTH ARIZONA LLC |
| Practice Address |
5601 W Eugie Ave Ste 213 Glendale AZ 85304-1258 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
| Practice Telephone | 6028655618 |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |
| Authorized Official Name | DENNIS LARAWAY (CFO) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699318105 | Banner Occupational Health Arizona LLC | Clinic/Center | 1300 N 12th St Ste 250, Phoenix, AZ 85006-2848 | 2019-10-28 |
| 1669015467 | Banner Occupational Health Arizona LLC | Clinic/Center | 1920 N Higley Rd Ste 108, Gilbert, AZ 85234-1626 | 2019-10-24 |
| 1750924551 | Banner Occupational Health Arizona LLC | Clinic/Center | 1676 E Mcmurray Blvd Ste 2, Casa Grande, AZ 85122-4798 | 2019-10-24 |
| 1144572611 | Banner Occupational Health Arizona LLC | Clinic/Center | 1300 N 12th St Ste 520, Phoenix, AZ 85006-2849 | 2012-10-09 |
| 1477196277 | Banner Occupational Health Arizona LLC | Clinic/Center | 2225 W Southern Ave, Mesa, AZ 85202-4716 | 2019-10-24 |
| 1194368993 | Banner Occupational Health Arizona LLC | Clinic/Center | 1979 W Ray Rd, Chandler, AZ 85224-4007 | 2019-10-24 |
| 1811530611 | Banner Occupational Health Arizona LLC | Clinic/Center | 9305 W Thomas Rd Ste 235, Phoenix, AZ 85037-3363 | 2019-10-24 |
| 1679116479 | Banner Occupational Health Arizona LLC | Clinic/Center | 1101 N Wilmot Rd Ste 101, Tucson, AZ 85712-5144 | 2019-10-24 |
| Street Address |
5601 W EUGIE AVE STE 213 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85304-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
| 1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
| 1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
| 1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| Find all providers in zip 85304 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821407545 | Insights for Life LLC | Clinic/Center | 20325 N 51st Ave, 112, Glendale, AZ 85308-5674 | 2014-08-06 |
| 1447310297 | Glendale Adventist Occupational Medicine Center | Clinic/Center | 600 S Glendale Ave, Glendale, CA 91205-2316 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699318105 | Banner Occupational Health Arizona LLC | Clinic/Center | 1300 N 12th St Ste 250, Phoenix, AZ 85006-2848 | 2019-10-28 |
| 1669015467 | Banner Occupational Health Arizona LLC | Clinic/Center | 1920 N Higley Rd Ste 108, Gilbert, AZ 85234-1626 | 2019-10-24 |
| 1750924551 | Banner Occupational Health Arizona LLC | Clinic/Center | 1676 E Mcmurray Blvd Ste 2, Casa Grande, AZ 85122-4798 | 2019-10-24 |
| 1407412331 | Banner Occupational Health - Onsite, LLC | Clinic/Center | 1621 W Rio Salado Pkwy Bldg D, Tempe, AZ 85281-2608 | 2019-05-16 |
| 1578126769 | Watch Me Grow, LLC | Clinic/Center | 6602 S Constellation Way, Gilbert, AZ 85298-5700 | 2019-04-15 |
| 1982145892 | Michelle Toyos | Clinic/Center | 8953 E Kirkpatrick Cir, Tucson, AZ 85710-4447 | 2017-03-10 |
| 1578974960 | Body 4 Life | Clinic/Center | 8300 N Hayden Rd Ste A-203, Scottsdale, AZ 85258-2481 | 2014-05-19 |
| 1205173150 | Lurea Inman | Clinic/Center | 18610 E Raven Dr, Queen Creek, AZ 85142-5542 | 2013-01-12 |
| 1134473416 | Ccfx,llc | Clinic/Center | 2622 E Javelina Cir, Mesa, AZ 85204-7127 | 2012-11-07 |
| 1144572611 | Banner Occupational Health Arizona LLC | Clinic/Center | 1300 N 12th St Ste 520, Phoenix, AZ 85006-2849 | 2012-10-09 |
| Find all providers with the same taxonomy | ||||
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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.