BANNER -- UNIVERSITY MEDICAL GROUP NPI 1508809427

NPI Information

NPI: 1508809427
Provider Name: BANNER -- UNIVERSITY MEDICAL GROUP

Former Legal Business Name: UNIVERSITY PHYSICIANS, INC.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 53D2207919

Address:
2901 N CENTRAL AVE
PHOENIX, AZ
ZIP 85012
Phone: (602) 747-4000
Get Directions

BANNER -- UNIVERSITY MEDICAL GROUP is a family medicine in Phoenix, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BANNER -- UNIVERSITY MEDICAL GROUP NPI is 1508809427. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is University Physicians, Inc..

The provider's business location address is:

2901 N CENTRAL AVE
PHOENIX, AZ
ZIP 85012-700
Phone: (602) 747-4000

The provider's authorized official is Dennis Dahlen .
The authorized official title is Sr Vp Finance and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 53D2207919 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 2/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	207K00000X	Allergy & Immunology			No
2	207L00000X	Anesthesiology			No
3	207N00000X	Dermatology			No
4	207P00000X	Emergency Medicine			No
5	207T00000X	Neurological Surgery			No
6	207U00000X	Nuclear Medicine			No
7	207V00000X	Obstetrics & Gynecology			No
8	207W00000X	Ophthalmology			No
9	207X00000X	Orthopaedic Surgery			No
10	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology		No
11	208000000X	Pediatrics			No
12	2085R0202X	Radiology	Diagnostic Radiology		No
13	207R00000X	Internal Medicine			No
14	261QA1903X	Clinic/Center	Ambulatory Surgical	ARIZONA	No
15	207Q00000X	Family Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	005638	MEDICAID	ARIZONA
2	CC6470	OTHER	ARIZONA	RAIL ROAD MEDICARE
3	ZWCGCR	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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