NPIMap

Organization Active NPI

Kevin Warren

  • General Acute Care Hospital
  • Mesa, AZ
National Provider Identifier
1093149692
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
5450 Issued in AZ
Legal business name
KEVIN WARREN
Practice address
1520 S Dobson Rd
Suite 203
Mesa, AZ 85202-4725
Phone
(480) 412-4839
NPI assigned
Aug 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Dennis Laraway
Title
Cfo
Phone
(602) 747-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 5450 AZ Primary

Addresses

Primary practice location

1520 S Dobson Rd
Suite 203
Mesa, AZ 85202-4725

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone (480) 412-4839

National Provider Directory

National Provider Directory
Tax ID family
Banner Physician Specialists Arizona LLC22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

1520 S Dobson Rd
Ste 203
Mesa, AZ 85202
Phone (480) 412-8080

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1093149692",
    "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",
            "telephone_number": "480-412-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S DOBSON RD",
            "address_2": "SUITE 203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024725",
            "telephone_number": "480-412-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN WARREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "602-747-4000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "5450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.