BANNER ALZHEIMER'S INSTITUTE (NPI# 1730651738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730651738 |
| Entity Type | Organization |
| Organization Name | BANNER ALZHEIMER'S INSTITUTE |
| Practice Address |
3838 N Campbell Ave Bldg 2 Tucson AZ 85719-1478 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
| Practice Telephone | 5206948888 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |
| Authorized Official Name | DENNIS LAROWAY (CFO) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013966712 | Banner Alzheimer's Institute | Psychiatry & Neurology | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2006-05-09 |
| Street Address |
3838 N CAMPBELL AVE BLDG 2 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-1478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265645782 | Puneet Shroff | Internal Medicine | 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719 | 2007-05-08 |
| 1205443140 | Jessica Ann Phyu | Pharmacist | 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719-1454 | 2020-09-24 |
| 1649810789 | Melanie Dunne | Audiologist | 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719-1454 | 2020-01-07 |
| 1043865561 | Kyle Estep | Nurse Practitioner | 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719-1478 | 2019-08-02 |
| 1225591563 | Kendall Coombs | Nurse Practitioner | 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719-1454 | 2019-04-12 |
| 1912435405 | George Anthony Sayre | Family Medicine | 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719-1454 | 2017-05-26 |
| 1669865259 | Kathryn Taylor | Dietitian, Registered | 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719-1454 | 2015-03-06 |
| 1962845529 | Alan Sohrab Nyquist | Internal Medicine | 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719 | 2013-04-14 |
| 1669634853 | Tara Friedel Carr | Allergy & Immunology | 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466244 | Adam Colbert Md, Pllc | Psychiatry & Neurology | 2550 E River Rd Unit 13205, Tucson, AZ 85718-9527 | 2020-10-30 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1053974071 | Siddesh Gopalakrishnan | Psychiatry & Neurology | Department of Psychiatry, Bhp, 2800 E. Ajo Way, Tucson, AZ 85713-6204 | 2019-04-16 |
| 1124681358 | Alexander Paul Lang | Psychiatry & Neurology | 2800 E Ajo Way Dept Of, Tucson, AZ 85713-6204 | 2019-04-14 |
| 1437696127 | Tanya Underwood, Do, Pllc | Psychiatry & Neurology | 6700 N Oracle Rd Ste 121, Tucson, AZ 85704-7733 | 2017-01-19 |
| 1932584968 | Iris R Bell | Psychiatry & Neurology | 11961 N Tami Pl, Tucson, AZ 85737-9513 | 2015-07-20 |
| 1386045326 | Lisa R. Strober, Md, PC | Psychiatry & Neurology | 7500 N. Ave De Lisa, Tucson, AZ 85704-7047 | 2014-09-09 |
| 1699188110 | George Hadeed | Psychiatry & Neurology | 258 E River Rd Ste 110, Tucson, AZ 85704 | 2014-06-03 |
| 1457790602 | Nida Javed Syed | Psychiatry & Neurology | Univ of Arizona Psychiatry Department, 1501 North Campbell Ave., Tucson, AZ 85724-0001 | 2013-06-20 |
| 1538503594 | Lisa E. Goldman | Psychiatry & Neurology | 2030 E. Broadway #26, Tucson, AZ 85719 | 2013-04-22 |
| Find all providers in TUCSON | ||||
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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.