Banner - University Hospital Based Physicians LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC

Practice address

1111 E McDowell Rd
Phoenix, AZ 85006-2612

Phone

(602) 839-2000

NPI assigned

Dec 1, 2022

Organization subpart

Yes

Parent organization

BANNER -- UNIVERSITY MEDICAL GROUPAs reported in NPPES

Name

Todd Werner

Title

Division President

Phone

(602) 747-4000

Part of

Alison T Stopeck MD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2022.

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1083324941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612",
            "telephone_number": "602-839-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER -- UNIVERSITY MEDICAL GROUP",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DIVISION PRESIDENT",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missy Banks
• Sylvia Rose Banks
• John Karm Banna
• Banner - University Hospital Based Physicians LLC
• Banner - University Hospital Based Physicians LLC
• Banner - University Hospital Based Physicians LLC
• Banner - University Hospital Based Physicians LLC
• Banner - University Hospital Based Physicians LLC
• Banner - University Hospital Based Physicians LLC
• Banner - University Hospital Based Physicians LLC

• All providers in Phoenix, AZ
• Radiology Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.