BANNER GATEWAY MEDICAL CENTER (NPI# 1699884858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699884858 |
| Entity Type | Organization |
| Organization Name | BANNER GATEWAY MEDICAL CENTER |
| Practice Address |
1900 N Higley Rd Gilbert AZ 85234-1604 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 4805432000 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-11-01 |
| Authorized Official Name | DENNIS DAHLEN (SR VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | PENDING | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 262489 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104103555 | Banner Gateway Medical Center | Durable Medical Equipment & Medical Supplies | 2946 E Banner Gateway Drive, Rm 2008, Gilbert, AZ 85234 | 2011-11-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BANNER GATEWAY MEDICAL CENTER | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Street Address |
1900 N HIGLEY RD |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063494284 | David Seth Zimmerman | Emergency Medicine | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2005-11-15 |
| 1811519218 | Ashley Baldwin | Dietitian, Registered | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2020-05-08 |
| 1346870623 | Joshua Stonehocker | Registered Nurse | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2020-01-25 |
| 1801307376 | Haylee Schiche | Nurse Anesthetist, Certified Registered | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2017-10-23 |
| 1134648363 | Jennifer Baker | Nurse Anesthetist, Certified Registered | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2017-09-19 |
| 1962925180 | Tanner Roy Webster | Nurse Anesthetist, Certified Registered | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2017-07-19 |
| 1386093342 | Joel A Baker | Nurse Anesthetist, Certified Registered | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2016-06-09 |
| 1205285996 | Izayadeth Aguayo Jennings | Internal Medicine | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2016-06-03 |
| 1356700660 | Nathan Christopher Berry | Nurse Anesthetist, Certified Registered | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2016-02-15 |
| 1134585573 | Brandon David Brewer | Nurse Anesthetist, Certified Registered | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2016-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912370578 | Americas Billing Solution LLC | General Acute Care Hospital | 2730 S. Val Vista Drive, #129, Gilbert, AZ 85295 | 2015-11-04 |
| 1619369501 | Michelle H Carnes Pllc | General Acute Care Hospital | 3609 E. Latham Way, Gilbert, AZ 85297 | 2015-03-02 |
| 1063821015 | Streamline Medical Billing | General Acute Care Hospital | 2730 S Val Vista Dr Ste 129, Gilbert, AZ 85295-1678 | 2014-08-04 |
| 1912447855 | Banner Health | General Acute Care Hospital | 4259 S Squires Ln, Gilbert, AZ 85297-1206 | 2017-02-25 |
| 1376710434 | Farshid Dayyani | General Acute Care Hospital | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2008-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598121 | Smsj Tucson Holdings LLC | General Acute Care Hospital | 7401 S Wilmot Rd, Tucson, AZ 85756 | 2020-11-03 |
| 1609496397 | Fhmc LLC | General Acute Care Hospital | 9700 N Saguaro Blvd, Fountain Hills, AZ 85268-6241 | 2020-04-22 |
| 1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
| 1851927669 | Northwest Sahuarita Hospital LLC | General Acute Care Hospital | 16260 S Rancho Sahuarita Blvd, Sahuarita, AZ 85629 | 2020-03-13 |
| 1265063010 | Honorhealth | General Acute Care Hospital | 33400 N 32nd Ave, Phoenix, AZ 85085-8876 | 2020-01-30 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1699322925 | Valley Hospitalists Group Pllc | General Acute Care Hospital | 6227 E Juniper Ave, Scottsdale, AZ 85254-1314 | 2019-08-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1487218509 | Smsj Tucson Holdings, LLC | General Acute Care Hospital | 5620 W Cortaro Farms Rd, Tucson, AZ 85742-9559 | 2019-04-24 |
| 1518409218 | Rachel Vaughn | General Acute Care Hospital | 2623 N 108th Dr, Avondale, AZ 85392-5806 | 2016-11-11 |
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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.