Banner Estrella Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

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

Dec 12, 2013

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 Dahlen

Title

Sr. VP Finance

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Part of

M E Lee MD

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Banner Health

  dba Banner Payson Medical Center

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340

  Member Of

  NPD member

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1366873515",
    "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"
        },
        {
            "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": "2013-12-12",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "SR. VP FINANCE",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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)
• Banner Good Samaritan

• 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.