Banner Childrens Banner Health Clinic LLC
A Medicare group practice based in Mesa, AZ: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2466697735), with 57 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2466697735
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- AZ
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 21
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20130315000131 | AZ | Part B Supplier - Clinic/Group Practice | 1407191216 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Banner Childrens Banner Health Clinic LLC
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1407191216
-
Banner Childrens Banner Health Clinic LLC
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1285278077
-
Banner Childrens Banner Health Clinic LLC
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1558606020
Practice locations
- Mesa, AZ4
- Casa Grande, AZ2
- Gilbert, AZ2
- Goodyear, AZ2
- Phoenix, AZ2
- Surprise, AZ2
- Apache Junction, AZ1
- Buckeye, AZ1
- Chandler, AZ1
- Glendale, AZ1
- Maricopa, AZ1
- Queen Creek, AZ1
- Scottsdale, AZ1
Clinicians 57
Clinicians who reassign their Medicare benefits to this group (57) or whom Care Compare lists as members (2).
-
Courtney Agliano
- Pediatrics Physician
- Chandler, AZ
- NPI 1417431586
-
Michelle Dewolf Allen, D.O.
- Pediatrics Physician
- Mesa, AZ
- NPI 1902896590
-
Trupti V Amin-Chapman, M.D.
- Pediatrics Physician
- Mesa, AZ
- NPI 1164412854
-
Joseph Robert Armstrong, MD
- Pediatrics Physician
- Glendale, AZ
- NPI 1134625486
-
Mwela Njabi Asombang, M.D.
- Pediatrics Physician
- Yuma, AZ
- NPI 1184937989
-
Cory Bell, PA
- Medical Physician Assistant
- Mesa, AZ
- NPI 1710396692
-
Manu Bhakoo, MD
- Pediatrics Physician
- Apache Junction, AZ
- NPI 1518952373
-
Marcela Cristea, MD
- Pediatrics Physician
- Apache Junction, AZ
- NPI 1013999226
-
Joshua Eberhard, D.O.
- Pediatrics Physician
- Queen Creek, AZ
- NPI 1073923793
-
Kelly F England, M.D.
- Pediatrics Physician
- Mesa, AZ
- NPI 1679563282
-
Ruben Omar Espinoza, M.D.
- Pediatrics Physician
- Mesa, AZ
- NPI 1164621470
-
Jennifer Ann Femiano, M.D.
- Pediatrics Physician
- Phoenix, AZ
- NPI 1467440040
-
Angela Feng
- Family Medicine Physician
- Mesa, AZ
- NPI 1144684036
-
Tracy A Frausto, M.D.
- Pediatrics Physician
- Gilbert, AZ
- NPI 1164527396
-
Kojasteh Mahsa Ghaziaskar, MD
- Pediatrics Physician
- Mesa, AZ
- NPI 1881663441
-
Aaron Gomez, M.D.
- Pediatrics Physician
- Gilbert, AZ
- NPI 1932442712
-
Jalaja Gundrathi, M.D
- Pediatrics Physician
- Mason City, IA
- NPI 1699126771
-
Deanna Haller, DO
- Pediatrics Physician
- Gilbert, AZ
- NPI 1386624302
-
Nurul Itqiyah Hariadi, MD
- Pediatrics Physician
- Maricopa, AZ
- NPI 1881875037
-
Randi Michelle Herman, FNP-C
- Family Nurse Practitioner
- Buckeye, AZ
- NPI 1962947770
-
Russell Horton, D.O.
- Pediatrics Physician
- Gilbert, AZ
- NPI 1780996967
-
Holly P Jastak, RN, MSN, FNP
- Family Nurse Practitioner
- Portland, OR
- NPI 1023541869
-
Jonathan M Jones, D.O.
- Pediatrics Physician
- Silver City, NM
- NPI 1982826855
-
Jaclyn Marie Kepski, MD
- Pediatrics Physician
- Gilbert, AZ
- NPI 1538484357
-
Farha N Khan, M.D.
- Pediatrics Physician
- Phoenix, AZ
- NPI 1073584611
-
Anushka T Kinra, D.O
- Pediatrics Physician
- Phoenix, AZ
- NPI 1811271950
-
Krishnamraju Kosuru, M.D
- Pediatrics Physician
- Joplin, MO
- NPI 1013204296
-
Brenda Kronborg, D.O.
- Pediatrics Physician
- Mesa, AZ
- NPI 1801886163
-
David Lar, MD
- Pediatrics Physician
- Maricopa, AZ
- NPI 1962636845
-
Melinda Marie Lawrence, DNP
- Pediatric Nurse Practitioner
- Gilbert, AZ
- NPI 1487026167
-
Wendy Lorenzen, M.D.
- Pediatrics Physician
- Gilbert, AZ
- NPI 1386634954
-
Saisho Mangla, D.O.
- Pediatrics Physician
- Chandler, AZ
- NPI 1235543919
-
Coleen K Marias, MD
- Pediatrics Physician
- Scottsdale, AZ
- NPI 1215917638
-
Maria Christine Martin
- Hospitalist Physician
- Phoenix, AZ
- NPI 1720585805
-
Heather Merchut
- Family Medicine Physician
- Phoenix, AZ
- NPI 1326500687
-
Mark Morales, MD
- Pediatrics Physician
- Phoenix, AZ
- NPI 1083684864
-
Rumbidzai Mutikani
- Pediatrics Physician
- Goodyear, AZ
- NPI 1568015923
-
Ayesha Najib, M.D.
- Pediatrics Physician
- Scottsdale, AZ
- NPI 1801820816
-
Suzanne Nielsen, M.D.
- Pediatrics Physician
- Gilbert, AZ
- NPI 1457526030
-
Tanya Y Pitts, M.D.
- Pediatrics Physician
- Glendale, AZ
- NPI 1124062435
-
Zafar Abdul Quadir, MD
- Pediatrics Physician
- Phoenix, AZ
- NPI 1457371759
-
Jamie Jo Quintana, D.O.
- Pediatrics Physician
- Dubuque, IA
- NPI 1962675264
-
Marie Christianne Sandhya Ravi Chandar, MD
- Pediatrics Physician
- Maricopa, AZ
- NPI 1386130060
-
Jarrett Edward Stewart Riley, D.O.
- Pediatrics Physician
- Goodyear, AZ
- NPI 1255623732
-
Zaydee Montano Rivera, MD
- Pediatrics Physician
- Queen Creek, AZ
- NPI 1427579754
-
Meggan Ann Murphy Roman, DO
- Pediatrics Physician
- Chandler, AZ
- NPI 1871122861
-
David I Ryan, M.D.
- Pediatric Critical Care Medicine Physician
- Scottsdale, AZ
- NPI 1598726242
-
Mehdi David Salek, M.D.
- Pediatrics Physician
- Mesa, AZ
- NPI 1215903836
-
John Gabriel Sarmiento, MD
- Pediatrics Physician
- Peoria, AZ
- NPI 1598743478
-
Rachel Singer, M.D
- Pediatrics Physician
- Maricopa, AZ
- NPI 1417309360
-
Dawn Medler Sorenson, M.D., M.P.H
- Pediatrics Physician
- Maricopa, AZ
- NPI 1821246091
-
James Stangle, CPNP-PC, FNP-C
- Pediatric Nurse Practitioner
- Tempe, AZ
- NPI 1790206159
-
Jennifer Lynn Sylvester, CPNP
- Primary Care Nurse Practitioner
- Peoria, AZ
- NPI 1851622732
-
Shilpa Mohan Ullikashi, MD
- Pediatrics Physician
- Casa Grande, AZ
- NPI 1033632336
-
Breeane Wazney, MD
- Pediatrics Physician
- Queen Creek, AZ
- NPI 1538722822
-
Joseph L Werther, M.D
- Pediatrics Physician
- Mesa, AZ
- NPI 1629096458
-
Tiffany Witek, FNP
- Family Nurse Practitioner
- Casa Grande, AZ
- NPI 1396492930
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.