Active NPI
Banner Physician Specialists Arizona LLC
- Multi-Specialty Clinic/Center
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
- Practice address
- 2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702 - Phone
- (602) 747-4000
- NPI assigned
- Aug 29, 2011
- Organization subpart
- Yes
- Parent organization
- BANNER MEDICAL GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shiva Birdi
- Title
- Ceo
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other practice location 1
9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone (623) 327-4000
Other practice location 2
9305 W Thomas Rd Ste 360
Phoenix, AZ 85037-3367
Phone (623) 327-8200
Other practice location 3
9305 W Thomas Rd Ste 380
Phoenix, AZ 85037-3368
Phone (623) 327-4144
Other practice location 4
9780 S Estrella Pkwy
Goodyear, AZ 85338-7114
Phone (623) 474-8101
Other practice location 5
120 E Main St Ste A
Payson, AZ 85541-5618
Phone (928) 596-4700
Other practice location 6
807 S Ponderosa St
Payson, AZ 85541-5542
Phone (928) 471-3222
Other practice location 7
1828 E Florence Blvd Bldg A Ste 112
Bldg A Ste 112
Casa Grande, AZ 85122-4783
Phone (520) 381-6912
Other practice location 8
3235 N Hunt Hwy Ste 103
Florence, AZ 85132-6898
Phone (520) 233-2770
Other practice location 9
37100 N Gantzel Rd Ste 107
Queen Creek, AZ 85140-7350
Phone (480) 394-4480
Other practice location 10
37100 N Gantzel Rd Ste 201
Queen Creek, AZ 85140-7352
Phone (480) 394-4469
Other practice location 11
126 E Main St Ste D
Payson, AZ 85541-5488
Phone (928) 596-4800
Other practice location 12
1800 E Florence Blvd
Casa Grande, AZ 85122-5303
Phone (520) 381-6300
Other practice location 13
10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000
Other practice location 14
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000
Other practice location 15
1125 S Alma School Rd Ste 210
Chandler, AZ 85286-2811
Phone (480) 733-7300
Other practice location 16
13640 N Plaza Del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 876-3800
Other practice location 17
1125 S Alma School Rd Ste 310
Chandler, AZ 85286-2812
Phone (480) 733-7305
Other practice location 18
127 E Main St Ste C
Payson, AZ 85541-5645
Phone (928) 472-3450
Other practice location 19
1300 S Country Club Dr Ste 3
Mesa, AZ 85210-5162
Phone (480) 827-5500
Other practice location 20
1828 E Florence Blvd Ste 139
Casa Grande, AZ 85122-4783
Phone (602) 747-4000
Other practice location 21
17900 N Porter Rd
Maricopa, AZ 85138-4228
Phone (520) 233-2500
Other practice location 22
1811 E McMurray Blvd
Casa Grande, AZ 85122-5404
Phone (520) 374-6530
Other practice location 23
122 E Main St
Payson, AZ 85541-5574
Phone (928) 596-4600
Other practice location 24
1828 E Florence Blvd Ste 110
Casa Grande, AZ 85122-4783
Phone (520) 876-4006
Other practice location 25
1800 N Civic Sq Ste 200, 220, 320
Goodyear, AZ 85395-2391
Phone (623) 465-6506
Other practice location 26
14502 W Meeker Blvd
Sun City West, AZ 85375-5282
Phone (623) 524-4000
Other practice location 27
1520 S Dobson Rd Ste 203
Mesa, AZ 85202-4725
Phone (480) 733-7535
Other practice location 28
1520 S Dobson Rd Ste 206
Mesa, AZ 85202-4753
Phone (602) 462-0480
Other practice location 29
155 E Warner Rd
Gilbert, AZ 85296-3082
Phone (480) 649-6600
Other practice location 30
1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 543-2000
Other practice location 31
1917 S Crismon Rd
Mesa, AZ 85209-6216
Phone (480) 610-7100
Other practice location 32
1920 N Higley Rd Ste 206
Gilbert, AZ 85234-1624
Phone (480) 543-6700
Other practice location 33
1920 N Higley Rd Ste 306
Gilbert, AZ 85234-1625
Phone (480) 543-6700
Other practice location 34
1920 N Higley Rd Ste 308
Gilbert, AZ 85234-1625
Phone (480) 543-6600
Other practice location 35
1940 N Alma School Rd
Chandler, AZ 85224-2841
Phone (480) 890-0280
Other practice location 36
20751 W Market St
Buckeye, AZ 85396-7893
Phone (623) 463-5000
Other practice location 37
21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709
Phone (480) 512-3700
Other practice location 38
6424 E Broadway Rd Ste 105
Mesa, AZ 85206-1750
Phone (480) 684-6487
Other practice location 39
6553 E Baywood Ave Ste 101
Mesa, AZ 85206-1754
Phone (480) 543-6750
Other practice location 40
6553 E Baywood Ave Ste 212
Mesa, AZ 85206-1754
Phone (480) 543-6880
Other practice location 41
6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 321-2000
Other practice location 42
6750 E Baywood Ave Ste 503
Mesa, AZ 85206-1749
Phone (480) 543-3030
Other practice location 43
7575 E Earll Dr
Scottsdale, AZ 85251-6915
Phone (480) 448-7500
Other practice location 44
7575 E Earll Dr Ste 100
Scottsdale, AZ 85251-6915
Phone (480) 827-5320
Other practice location 45
7701 W Aspera Blvd Stes 102, 201, 301
Glendale, AZ 85308-7935
Phone (623) 248-2100
Other practice location 46
4375 E Irma Ln
Phoenix, AZ 85050-4312
Phone (480) 890-5800
Other practice location 47
4530 E Ray Rd Ste 190
Phoenix, AZ 85044-6097
Phone (480) 827-5420
Other practice location 48
4720 E Greenway Rd
Phoenix, AZ 85032-4355
Phone (602) 439-6000
Other practice location 49
501 N Navajo Dr
Mailing PO Box 1447 Page 86040-1447
Page, AZ 86040-0959
Phone (928) 645-2424
Other practice location 50
5601 W Eugie Ave Ste 100
Glendale, AZ 85304-1256
Phone (602) 865-4510
Other practice location 51
5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555
Other practice location 52
5757 W Thunderbird Rd Ste E151
Glendale, AZ 85306-4685
Phone (602) 865-4570
Other practice location 53
5757 W Thunderbird Rd Ste E456
Glendale, AZ 85306-4650
Phone (623) 476-5190
Other practice location 54
13943 N 91st Ave Ste B101
Peoria, AZ 85381-3688
Phone (623) 476-5190
Other practice location 55
13995 W Statler Blvd Bldg 1
Surprise, AZ 85374-5501
Phone (623) 478-3100
Other practice location 56
1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000
Other practice location 57
1432 S Dobson Rd Ste 304
Mesa, AZ 85202-4773
Phone (480) 412-7400
Other practice location 58
1435 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 668-1600
Other practice location 59
14416 W Meeker Blvd
Sun City West, AZ 85375-5284
Phone (623) 876-3800
Other practice location 60
14420 W Meeker Blvd Ste 104
Sun City West, AZ 85375-5287
Phone (623) 583-5300
Other practice location 61
8722 E San Alberto Dr Ste 100
Scottsdale, AZ 85258-4353
Phone (480) 827-5320
Other practice location 62
9165 W Thunderbird Rd Ste 200
Peoria, AZ 85381-4847
Phone (623) 285-1120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111222000509 | AZ | Part B Supplier - Clinic/Group Practice | 6204002272 |
Receives reassigned benefits from 669 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1033730429
O20111222000509
-
- Multi-Specialty Clinic/Center
- Page, AZ
- NPI 1366799355
O20111222000509
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1821368218
O20111222000509
National Provider Directory
National Provider Directory- Part of
- Tiffany Weathers
Locations (25 of 42)
1760 E Florence Blvd
Ste 108
Casa Grande, AZ 85122
1828 E Florence Blvd
Ste A110
Casa Grande, AZ 85122
1828 E Florence Blvd
Ste 112
Casa Grande, AZ 85122
Phone (520) 374-8915
1828 E Florence Blvd
Ste 139
Casa Grande, AZ 85122
Phone (520) 381-6150
1828 E Florence Blvd
Bldg C139
Casa Grande, AZ 85122
1780 E Florence Blvd
Ste 104
Casa Grande, AZ 85122
Phone (520) 426-1928
1828 E Florence Blvd
Ste 112A
Casa Grande, AZ 85122
1940 N Alma School Rd
Chandler, AZ 85224
Phone (480) 890-0280
1452 N Higley Rd
Gilbert, AZ 85234
Phone (480) 813-9600
7701 W Aspera Blvd
Ste 102
Glendale, AZ 85308
Phone (623) 248-2100
5768 W Thunderbird Rd Ste E151
Glendale, AZ 85306
7701 W Aspera Blvd
Glendale, AZ 85308
Phone (623) 248-2100
7701 W Aspera Blvd
Ste 301
Glendale, AZ 85308
Phone (623) 248-2109
5764 W Thunderbird Rd Ste E151
Glendale, AZ 85306
5757 W Thunderbird Rd
Ste E251
Glendale, AZ 85306
5310 W Thunderbird Rd
Ste 110
Glendale, AZ 85306
Phone (602) 865-4065
5762 W Thunderbird Rd Ste E151
Glendale, AZ 85306
5757 W Thunderbird Rd
Ste E250
Glendale, AZ 85306
Phone (602) 865-4470
7701 W Aspera Blvd
#102
Glendale, AZ 85308
5757 W Thunderbird Rd
Ste E456
Glendale, AZ 85306
Phone (602) 843-1777
5766 W Thunderbird Rd Ste E151
Glendale, AZ 85306
1520 S Dobson Rd
Ste 206
Mesa, AZ 85202
Phone (480) 412-8080
1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355
122 E Main St
Payson, AZ 85541
Phone (928) 474-2888
122 E Main St
Ste A
Payson, AZ 85541
Practitioners & affiliated clinicians
Practitioners 542
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Phoenix, AZ
- NPI 1023446358
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1871619601
-
- Endocrinology, Diabetes & Metabolism Physician
- Peoria, AZ
- NPI 1336394956
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1053389957
-
- Physician Assistant
- Gilbert, AZ
- NPI 1891415253
-
- Critical Care Medicine (Internal Medicine) Physician
- Glendale, AZ
- NPI 1790773844
-
- Hospitalist Physician
- Sun City, AZ
- NPI 1750328829
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1598758450
-
- Gastroenterology Physician
- Chandler, AZ
- NPI 1689084774
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Sun City West, AZ
- NPI 1366896607
-
- Surgical Physician Assistant
- Scottsdale, AZ
- NPI 1003878125
-
- Critical Care Medicine (Internal Medicine) Physician
- Glendale, AZ
- NPI 1649219270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776297600000",
"number": "1316228802",
"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": "2901 N CENTRAL AVE STE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122702",
"telephone_number": "602-747-4000"
}
],
"practiceLocations": [
{
"address_1": "9201 W Thomas Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850373332",
"country_code": "US",
"telephone_number": "623-327-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9305 W Thomas Rd Ste 360",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850373367",
"country_code": "US",
"telephone_number": "623-327-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9305 W Thomas Rd Ste 380",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850373368",
"country_code": "US",
"telephone_number": "623-327-4144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9780 S Estrella Pkwy",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853387114",
"country_code": "US",
"telephone_number": "623-474-8101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 E Main St Ste A",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855415618",
"country_code": "US",
"telephone_number": "928-596-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "807 S Ponderosa St",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855415542",
"country_code": "US",
"telephone_number": "928-471-3222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1828 E Florence Blvd Bldg A Ste 112",
"address_2": "Bldg A Ste 112",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851224783",
"country_code": "US",
"telephone_number": "520-381-6912",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3235 N Hunt Hwy Ste 103",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "AZ",
"postal_code": "851326898",
"country_code": "US",
"telephone_number": "520-233-2770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37100 N Gantzel Rd Ste 107",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851407350",
"country_code": "US",
"telephone_number": "480-394-4480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37100 N Gantzel Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851407352",
"country_code": "US",
"telephone_number": "480-394-4469",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "126 E Main St Ste D",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855415488",
"country_code": "US",
"telephone_number": "928-596-4800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 E Florence Blvd",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851225303",
"country_code": "US",
"telephone_number": "520-381-6300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10401 W Thunderbird Blvd",
"address_purpose": "LOCATION",
"city": "Sun City",
"state": "AZ",
"postal_code": "853513004",
"country_code": "US",
"telephone_number": "623-832-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 E McDowell Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062612",
"country_code": "US",
"telephone_number": "602-839-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1125 S Alma School Rd Ste 210",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852862811",
"country_code": "US",
"telephone_number": "480-733-7300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13640 N Plaza Del Rio Blvd",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853814846",
"country_code": "US",
"telephone_number": "623-876-3800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1125 S Alma School Rd Ste 310",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852862812",
"country_code": "US",
"telephone_number": "480-733-7305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "127 E Main St Ste C",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855415645",
"country_code": "US",
"telephone_number": "928-472-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 S Country Club Dr Ste 3",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852105162",
"country_code": "US",
"telephone_number": "480-827-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1828 E Florence Blvd Ste 139",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851224783",
"country_code": "US",
"telephone_number": "602-747-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17900 N Porter Rd",
"address_purpose": "LOCATION",
"city": "Maricopa",
"state": "AZ",
"postal_code": "851384228",
"country_code": "US",
"telephone_number": "520-233-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1811 E McMurray Blvd",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851225404",
"country_code": "US",
"telephone_number": "520-374-6530",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "122 E Main St",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855415574",
"country_code": "US",
"telephone_number": "928-596-4600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1828 E Florence Blvd Ste 110",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851224783",
"country_code": "US",
"telephone_number": "520-876-4006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 N Civic Sq Ste 200, 220, 320",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853952391",
"country_code": "US",
"telephone_number": "623-465-6506",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14502 W Meeker Blvd",
"address_purpose": "LOCATION",
"city": "Sun City West",
"state": "AZ",
"postal_code": "853755282",
"country_code": "US",
"telephone_number": "623-524-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1520 S Dobson Rd Ste 203",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852024725",
"country_code": "US",
"telephone_number": "480-733-7535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1520 S Dobson Rd Ste 206",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852024753",
"country_code": "US",
"telephone_number": "602-462-0480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "155 E Warner Rd",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852963082",
"country_code": "US",
"telephone_number": "480-649-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 N Higley Rd",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852341604",
"country_code": "US",
"telephone_number": "480-543-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1917 S Crismon Rd",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852096216",
"country_code": "US",
"telephone_number": "480-610-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1920 N Higley Rd Ste 206",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852341624",
"country_code": "US",
"telephone_number": "480-543-6700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1920 N Higley Rd Ste 306",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852341625",
"country_code": "US",
"telephone_number": "480-543-6700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1920 N Higley Rd Ste 308",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852341625",
"country_code": "US",
"telephone_number": "480-543-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1940 N Alma School Rd",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852242841",
"country_code": "US",
"telephone_number": "480-890-0280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20751 W Market St",
"address_purpose": "LOCATION",
"city": "Buckeye",
"state": "AZ",
"postal_code": "853967893",
"country_code": "US",
"telephone_number": "623-463-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21772 S Ellsworth Loop Rd",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851427709",
"country_code": "US",
"telephone_number": "480-512-3700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6424 E Broadway Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852061750",
"country_code": "US",
"telephone_number": "480-684-6487",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6553 E Baywood Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852061754",
"country_code": "US",
"telephone_number": "480-543-6750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6553 E Baywood Ave Ste 212",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852061754",
"country_code": "US",
"telephone_number": "480-543-6880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6644 E Baywood Ave",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852061747",
"country_code": "US",
"telephone_number": "480-321-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6750 E Baywood Ave Ste 503",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852061749",
"country_code": "US",
"telephone_number": "480-543-3030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7575 E Earll Dr",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852516915",
"country_code": "US",
"telephone_number": "480-448-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7575 E Earll Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852516915",
"country_code": "US",
"telephone_number": "480-827-5320",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7701 W Aspera Blvd Stes 102, 201, 301",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853087935",
"country_code": "US",
"telephone_number": "623-248-2100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4375 E Irma Ln",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850504312",
"country_code": "US",
"telephone_number": "480-890-5800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4530 E Ray Rd Ste 190",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850446097",
"country_code": "US",
"telephone_number": "480-827-5420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4720 E Greenway Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850324355",
"country_code": "US",
"telephone_number": "602-439-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 N Navajo Dr",
"address_2": "Mailing PO Box 1447 Page 86040-1447",
"address_purpose": "LOCATION",
"city": "Page",
"state": "AZ",
"postal_code": "860400959",
"country_code": "US",
"telephone_number": "928-645-2424",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5601 W Eugie Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853041256",
"country_code": "US",
"telephone_number": "602-865-4510",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5555 W Thunderbird Rd",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853064622",
"country_code": "US",
"telephone_number": "602-865-5555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5757 W Thunderbird Rd Ste E151",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853064685",
"country_code": "US",
"telephone_number": "602-865-4570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5757 W Thunderbird Rd Ste E456",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853064650",
"country_code": "US",
"telephone_number": "623-476-5190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13943 N 91st Ave Ste B101",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853813688",
"country_code": "US",
"telephone_number": "623-476-5190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13995 W Statler Blvd Bldg 1",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853745501",
"country_code": "US",
"telephone_number": "623-478-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 S Dobson Rd",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852024707",
"country_code": "US",
"telephone_number": "480-412-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1432 S Dobson Rd Ste 304",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852024773",
"country_code": "US",
"telephone_number": "480-412-7400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1435 S Alma School Rd",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852867144",
"country_code": "US",
"telephone_number": "480-668-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14416 W Meeker Blvd",
"address_purpose": "LOCATION",
"city": "Sun City West",
"state": "AZ",
"postal_code": "853755284",
"country_code": "US",
"telephone_number": "623-876-3800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14420 W Meeker Blvd Ste 104",
"address_purpose": "LOCATION",
"city": "Sun City West",
"state": "AZ",
"postal_code": "853755287",
"country_code": "US",
"telephone_number": "623-583-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8722 E San Alberto Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852584353",
"country_code": "US",
"telephone_number": "480-827-5320",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9165 W Thunderbird Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853814847",
"country_code": "US",
"telephone_number": "623-285-1120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BANNER PHYSICIAN SPECIALISTS ARIZONA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER MEDICAL GROUP",
"enumeration_date": "2011-08-29",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A",
"authorized_official_last_name": "BIRDI",
"authorized_official_first_name": "SHIVA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Banner Pharmacy Services LLC
- Banner Pharmacy Services LLC
- Banner Phoenix Internal Medicine Physicians
- Banner Phoenix Surgery Center LLC
- Banner Physician Specialists Arizona LLC
- Banner Physician Specialists Arizona LLC
- Banner Physician Specialists Arizona LLC
- Banner Physician Specialists Arizona LLC
- Banner Physician Specialists Arizona LLC
- Banner Physician Specialists Arizona LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.