BANNER -- UNIVERSITY MEDICAL GROUP (NPI# 1932708328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932708328 |
Entity Type | Organization |
Organization Name | BANNER -- UNIVERSITY MEDICAL GROUP |
Practice Address |
535 N Wilmot Rd Ste 101 Tucson AZ 85711-2683 |
Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
Practice Telephone | 5206945437 |
Practice Fax Number | 5208744751 |
Enumeration Date | 2020-10-18 |
Last Update Date | 2020-10-18 |
Authorized Official Name | DENNIS LARAWAY (CHIEF FINANCIAL OFFICER) |
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 |
---|---|---|---|---|
1578910485 | Banner -- University Medical Group | Clinic/Center | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2016-05-20 |
1568818649 | Banner -- University Medical Group | Clinic/Center | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2016-05-09 |
1508809427 | Banner -- University Medical Group | Allergy & Immunology | 2901 N Central Ave, Phoenix, AZ 85012-2700 | 2006-06-14 |
Street Address |
535 N WILMOT RD STE 101 |
City | TUCSON |
State | AZ |
Zip Code | 85711-2683 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396718524 | Richard Donnerstein | Pediatrics | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2006-02-08 |
1770825275 | Keith Zachary Hazleton | Pediatrics | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2013-03-22 |
1114098472 | Joseph E Sheppard | Orthopaedic Surgery | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2006-11-10 |
1164511432 | Christine A Muhleman | Occupational Therapist | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2006-10-12 |
1659301240 | Cynthia L Uthe-straw | Nurse Practitioner | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
Find all providers in zip 85711 |
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 |
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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.