BANNER -- UNIVERSITY MEDICAL CENTER SOUTH CAMPUS LLC (NPI# 1922660182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922660182 |
| Entity Type | Organization |
| Organization Name | BANNER -- UNIVERSITY MEDICAL CENTER SOUTH CAMPUS LLC |
| Practice Address |
3950 S Country Club Rd Ste 130&140 Tucson AZ 85714-2099 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
| Practice Telephone | 5208744800 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| 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 |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801284617 | Banner -- University Medical Center South Campus LLC | Psychiatric Unit | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2014-12-31 |
| 1558759498 | Banner -- University Medical Center South Campus LLC | General Acute Care Hospital | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2014-12-30 |
| Street Address |
3950 S COUNTRY CLUB RD STE 130&140 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85714-2099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093270035 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 101 W Irvington Rd Bldg # 10, Tucson, AZ 85714 | 2019-02-04 |
| 1558868422 | Southern Arizona Urgent Care, LLC | Clinic/Center | 1218 W. Irvington Rd., Ste. 150, Tucson, AZ 85714 | 2018-04-09 |
| 1629525415 | Kayla Iwahashi | Physician Assistant | 2900 E Milber St, Tucson, AZ 85714 | 2016-09-08 |
| 1356790158 | Banner Umc Dpec | Nutritionist | 3950 S Country Club Road, Suite 130, Tucson, AZ 85714 | 2016-06-13 |
| 1811305634 | Johannes Kieding | Social Worker | 3939 S Park Ave Ste 150, Tucson, AZ 85714 | 2014-07-24 |
| 1982962221 | Orthomed, LLC | Clinic/Center | 1010 E. Palmdale St, Suite 130, Tucson, AZ 85714 | 2012-04-24 |
| 1588952089 | Crisis Response Network of Southern Arizona, Inc. | Community/Behavioral Health | 2802 East District Street, Tucson, AZ 85714 | 2011-07-18 |
| 1780904805 | Ana E Araiza Rojas | Dietitian, Registered | 3939 S. Park Ave, Suite 150 Cmg Southwest, Tucson, AZ 85714 | 2010-06-11 |
| 1710117668 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1210 E Pennsylvania St, Tucson, AZ 85714 | 2009-07-24 |
| 1639319049 | Ronnie C William | Internal Medicine | 3950 South Country Club Road, Ste 200, Tucson, AZ 85714 | 2009-02-25 |
| Find all providers in zip 85714 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029385 | Charlotte Marie Mcintyre | Nutritionist | 1000 E Water St Apt 7, Tucson, AZ 85719-3075 | 2020-10-01 |
| 1881219707 | Gabrielle Hungate | Nutritionist | 10754 N Chapin Ct, Tucson, AZ 85737-6634 | 2020-06-16 |
| 1427593391 | Martha Imelda Huizar | Nutritionist | 2214 E Vera Cruz Vis, Tucson, AZ 85713-5199 | 2016-12-30 |
| 1356790158 | Banner Umc Dpec | Nutritionist | 3950 S Country Club Road, Suite 130, Tucson, AZ 85714 | 2016-06-13 |
| 1629238589 | World Integrated Systems In Health, LLC | Nutritionist | 4627 N 1st Ave, Suite #2, Tucson, AZ 85718-8606 | 2008-06-13 |
| 1295226926 | Archer Bodyworks LLC | Nutritionist | 4625 E Broadway Blvd Ste 114, Tucson, AZ 85711-3575 | 2018-05-29 |
| 1619219631 | Eastside Nutrition LLC | Nutritionist | 333 N Wilmot Rd, Suite 340, Tucson, AZ 85711-2631 | 2013-03-18 |
| 1558665398 | Armando Valdez De Guzman | Nutritionist | 9420 E Golf Links Rd, Suite 108-296, Tucson, AZ 85730-1355 | 2011-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780598 | Penny Jean Stadick | Nutritionist | 20259 N Ryans Trl, Maricopa, AZ 85138-2446 | 2020-04-30 |
| 1275099020 | David Medansky | Nutritionist | 11980 W Shifting Sands Dr, Peoria, AZ 85383-2623 | 2019-02-18 |
| 1306345780 | Christine Inez Cintron | Nutritionist | 9231 E Carol Ave, Mesa, AZ 85208-2497 | 2018-02-12 |
| 1285143115 | Charles Higgins Jr. | Nutritionist | 600 N 4th St Apt 272, Phoenix, AZ 85004-4485 | 2017-09-22 |
| 1326568486 | Damian Dube | Nutritionist | 1503 N Rockwell St, Gilbert, AZ 85234-1436 | 2017-06-20 |
| 1639622434 | Jenny Woelk | Nutritionist | 2757 S Pewter Dr, 102, Gilbert, AZ 85295-1282 | 2016-07-27 |
| 1053783829 | Debra L Mcdaniel-perez | Nutritionist | 28784 E Aster Ln, Marana, AZ 85658-9223 | 2015-10-20 |
| 1114301967 | Peggy Gomez | Nutritionist | 15251 N 45th Pl, Phoenix, AZ 85032-4840 | 2015-07-10 |
| 1790190155 | Rustom Ali | Nutritionist | 1968 Mesquite Ave, Lake Havasu City, AZ 86403-5729 | 2014-06-24 |
| 1669883641 | Fredrick Grundy | Nutritionist | 6024 N Laguna Dr, Litchfield Park, AZ 85340-7339 | 2014-05-13 |
| 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.