Nolan S Desa (NPI# 1245673896, PAC ID# 8426349937) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1245673896 |
| PAC ID by PECOS | 8426349937 |
| Professional Enrollment ID | I20181003000080 |
| Full Name | Nolan S Desa |
| Organization Legal Name | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC |
| Address |
1920 N Higley Rd Gilbert AZ 85234-1625 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6204002272 |
| Number of Group Practice Members | 215 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050191 | ST MARY MEDICAL CENTER |
| 050485 | LONG BEACH MEMORIAL MEDICAL CENTER |
| 030122 | BANNER GATEWAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1920 N Higley Rd, Gilbert, AZ 85234-1625 | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC | |
| 1045 Atlantic Ave, Suite 506, Long Beach, CA 90813-3414 | 5624919456 | PROHEALTH PARTNERS, A MEDICAL GROUP |
| 10861 Cherry St, Suite 104, Los Alamitos, CA 90720-5403 | 5627949801 | PROHEALTH PARTNERS, A MEDICAL GROUP |
| Organization Legal Name | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC |
| Physicians | 175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith K Ferriell | Nurse Practitioner | Banner Physician Specialists Arizona LLC | 1600 W Chandler Blvd, Suite 180, Chandler, AZ 85224-6164 |
| Loyd B Olson Iii | General Surgery | Banner Physician Specialists Arizona LLC | 117 E Main St, A100 Banner Health Clinic, Payson, AZ 85541-4606 |
| Christopher J Danielson | Obstetrics/gynecology | Banner Physician Specialists Arizona LLC | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 |
| Alfonso G Ballesteros | General Surgery | Banner Physician Specialists Arizona LLC | 803 S Ponderosa St C, Banner Health Clinic, Payson, AZ 85541-5521 |
| Andri G Olafsson | General Surgery | Banner Physician Specialists Arizona LLC | 3235 N Hunt Hwy, Suite 103, Florence, AZ 85132-6898 |
| Vijayaratna Chockalingam | Endocrinology | Banner Physician Specialists Arizona LLC | 9165 W Thunderbird Rd, Banner Health Clinic, Peoria, AZ 85381-4847 |
| Lauren A Abert | Registered Dietitian Or Nutrition Professional | Banner Physician Specialists Arizona LLC | 14416 W Meeker Blvd, Sun City West, AZ 85375-5284 |
| Peter A Innes | General Surgery | Banner Physician Specialists Arizona LLC | 1828 E Florence Blvd Bldg A, Suite 110, Casa Grande, AZ 85122-4783 |
| Kristine S Brazzel | Psychologist, Clinical | Banner Physician Specialists Arizona LLC | 1920 N Higley Rd, Gilbert, AZ 85234-1625 |
| William Tindall | Obstetrics/gynecology | Banner Physician Specialists Arizona LLC | 120 E Main St A, Banner Health Clinic, Payson, AZ 85541-5488 |
| Street Address |
1920 N HIGLEY RD |
| City | GILBERT |
| State | AZ |
| Zip | 85234-1625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristine S Brazzel | Psychologist, Clinical | Banner Physician Specialists Arizona LLC | 1920 N Higley Rd, Gilbert, AZ 85234-1625 |
| Brett A Roeder | Podiatry | Banner Physician Specialists Arizona LLC | 1920 N Higley Rd, 206 Banner Health Clinic, Gilbert, AZ 85234-1624 |
| Karston J Carr | Orthopedic Surgery | Banner Physician Specialists Arizona LLC | 1920 N Higley Rd, 206 Banner Health Clinic, Gilbert, AZ 85234-1624 |
| Daniel Anders Arrhenius | Podiatry | Banner Physician Specialists Arizona LLC | 1920 N Higley Rd, 206 Banner Health Clinic, Gilbert, AZ 85234-1624 |
| Moiz Dawood | General Surgery | Banner Physician Specialists Arizona LLC | 1920 N Higley Rd, Gilbert, AZ 85234-1625 |
| Joseph Heller | General Surgery | Banner Physician Specialists Arizona LLC | 1920 N Higley Rd, 206 Banner Health Clinic, Gilbert, AZ 85234-1624 |
| Logan X Linarte | Physician Assistant | Banner Physician Specialists Arizona LLC | 1920 N Higley Rd, 206 Banner Health Clinic, Gilbert, AZ 85234-1624 |
| Erik S Bradley | Orthopedic Surgery | Banner Physician Specialists Arizona LLC | 1920 N Higley Rd, 206 Banner Health Clinic, Gilbert, AZ 85234-1624 |
| Allyson Booth | Registered Dietitian Or Nutrition Professional | Banner Physician Specialists Arizona LLC | 1920 N Higley Rd, Suite 306, Gilbert, AZ 85234-1625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haley Gann | Registered Dietitian Or Nutrition Professional | Eating for Life, LLC | 3820 E Leah Ct, Gilbert, AZ 85234-0013 |
| Aida E Amado | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Michelle Branton | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Ala Eddin Samir Sagar | Pulmonary Disease | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Andrew M Weinberg | Gastroenterology | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Reeshma S Mohammed | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Marwan M Oleiwi | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Tessa Meyer | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Karthik R Donuur | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Rosemary Bloom | Physician Assistant | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Find all physicians in zip 85234 | |||
| City | GILBERT |
| Zip Code | 85234 |
| Specialty | GENERAL SURGERY |
| City + Specialty | GILBERT + GENERAL SURGERY |
Please comment or provide details below to improve the information on Nolan S Desa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.