BANNER CANYON SPRINGS SURGERY CENTER LP (NPI# 1720113913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720113913 |
| Entity Type | Organization |
| Organization Name | BANNER CANYON SPRINGS SURGERY CENTER LP |
| Practice Address |
2940 E Banner Gateway Drive Suite 100 Gilbert AZ 85234 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 4808304972 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-03-10 |
| 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 | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
2940 E BANNER GATEWAY DRIVE SUITE 100 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982616249 | Timothy Mark Byker | Physician Assistant | 2940 E Banner Gateway Drive, Suite 400, Gilbert, AZ 85234 | 2006-08-13 |
| 1033478268 | Ala Eddin Samir Sagar | Internal Medicine | 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2012-05-08 |
| 1700099553 | Christopher Daniel Bryce | Orthopaedic Surgery | 2940 E Banner Gateway Drive, Suite 200, Gilbert, AZ 85234-2171 | 2007-05-08 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277069 | Southwest Endoscopy LLC | Clinic/Center | 2223 E Baseline Rd Ste B, Gilbert, AZ 85234-2336 | 2020-02-20 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1437795598 | Pain Specialty Surgical Center | Clinic/Center | 3303 E Baseline Rd Ste 104, Gilbert, AZ 85234-2739 | 2019-11-25 |
| 1629559208 | Orthoarizona Surgery Center Gilbert, LLC | Clinic/Center | 1675 E. Melrose Street, Suite 201, Gilbert, AZ 85297-7500 | 2018-08-22 |
| 1154832145 | Gilbert Facility Group, LLC | Clinic/Center | 3367 S Mercy Rd Ste 203, Gilbert, AZ 85297-7604 | 2017-10-17 |
| 1033400619 | Santan Surgery Center, LLC | Clinic/Center | 1704 E Boston St, Gilbert, AZ 85295-6223 | 2011-04-29 |
| 1659683662 | Premier Endoscopy Center, LLC | Clinic/Center | 2563 S Val Vista Drive, Gilbert, AZ 85296 | 2010-07-07 |
| 1063693588 | Southwest Endoscopy & Surgicenter LLC | Clinic/Center | 2223 E Baseline Road, Suite B, Gilbert, AZ 85234-2397 | 2007-11-27 |
| 1154387710 | Warner Park Surgery Center LLC | Clinic/Center | 3367 S. Mercy Road, Suite 101, Gilbert, AZ 85297 | 2006-04-24 |
| 1598372799 | Mercy Facility LLC | Clinic/Center | 3367 S Mercy Rd Ste 203, Gilbert, AZ 85297-7604 | 2020-09-30 |
| Find all providers in GILBERT | ||||
Please comment or provide details below to improve the information on BANNER CANYON SPRINGS SURGERY CENTER LP.
| 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.