Banner Estrella Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSC5846 Issued in AZ

Legal business name

BANNER ESTRELLA SURGERY CENTER

Practice address

9301 W Thomas Rd
Phoenix, AZ 85037-3327

Phone

(623) 388-5700

Fax

(623) 478-7499

NPI assigned

Jun 19, 2006

Last updated

Dec 18, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

BANNER HEALTHAs reported in NPPES

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

Authorized official

Name

Dennis E Dahlen

Title

Sr Vice President Finance

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Part of

Big Horn Family Med

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sundararajan Jayachandran, M.D

  • Urology Physician
  • Glendale, AZ
  • NPI 1447226444
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1114962321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062837",
            "telephone_number": "602-747-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373327",
            "telephone_number": "623-388-5700",
            "fax_number": "623-478-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER ESTRELLA SURGERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2006-06-19",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC5846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banner Employer Services Clinic
• Banner Employer Services Team LLC
• Banner Estrella Medical Center
• Banner Estrella Medical Center
• Banner Estrella Medical Center
• Banner Estrella Surgery Center
• Banner Estrella Surgery Center LLC
• Banner Executive Health LLC
• Banner Family Pharmacy
• Banner Family Pharmacy (Banner Family Pharmacy - Estrella)

• Ambulatory Surgical Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.