BANNER CONCIERGE SERVICES ARCADIA LLC NPI 1164110201

NPI Information

  • NPI: 1164110201
  • Provider Name: BANNER CONCIERGE SERVICES ARCADIA LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 03D2284049
  • Address: 4200 E CAMELBACK RD STE 102
    PHOENIX, AZ
    ZIP 85018
  • Phone: (602) 229-2128

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NPI Details

BANNER CONCIERGE SERVICES ARCADIA LLC is an internal medicine in Phoenix, AZ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BANNER CONCIERGE SERVICES ARCADIA LLC NPI is 1164110201. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4200 E CAMELBACK RD STE 102
PHOENIX, AZ
ZIP 85018-718
Phone: (602) 229-2128
Fax: (602) 744-6348

The provider's authorized official is Todd Werner .
The authorized official title is President, Care Delivery and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 03D2284049 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2023 and was last updated on 3/6/2025.

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 Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineYes

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: 11/21/2025

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