Banner Medical Group Adult Sleep, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

BANNER MEDICAL GROUP ADULT SLEEP, LLC

Practice address

1828 E Florence Blvd BLDG C Ste 136
Casa Grande, AZ 85122-4783

Phone

(520) 381-6282

Fax

(520) 381-6051

NPI assigned

Jan 20, 2021

Last updated

Dec 28, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

BANNER MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Dennis Laraway

Title

Cfo

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Part of

Tiffany Weathers

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.

• Shiva Birdi, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • Gilbert, AZ
  • NPI 1194993899
  NPD

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1750971073",
    "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": "1828 E FLORENCE BLVD BLDG C STE 136",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224783",
            "telephone_number": "520-381-6282",
            "fax_number": "520-381-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER MEDICAL GROUP ADULT SLEEP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP",
        "enumeration_date": "2021-01-20",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Michelle Bancroft
• Natalie Banks
• Banner Health (Banner Casa Grande Medical Center)
• Banner Health (Banner Casa Grande Urgent Care)
• Banner Imaging Services LLC
• Banner Medical Group Pediatric Sleep, LLC
• Banner Occupational Health Arizona LLC
• Banner Pharmacy Services LLC (Banner Family Pharmacy-Casa Grande)
• Banner Primary Care Physicians Arizona LLC
• Banner Sleep Centers LLC

• Sleep Disorder Diagnostic Clinic/Center in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Sleep Disorder Diagnostic Clinic/Center in Arizona

• 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.