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
- Jan 3, 2012
- Last updated
- Jun 24, 2026
- Organization subpart
- Yes
- Parent organization
- BANNER MEDICAL GROUP ARIZONA
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 | NU | Primary |
Addresses
Primary practice location
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Mailing address
1441 N 12TH St
Phoenix, AZ 85006-2837
Other practice location 1
6553 E Baywood Ave Ste 212
Mesa, AZ 85206-1754
Phone (480) 543-6880
Other practice location 2
6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 321-2000
Other practice location 3
6750 E Baywood Ave Ste 503
Mesa, AZ 85206-1749
Phone (480) 543-3030
Other practice location 4
7575 E Earll Dr
Scottsdale, AZ 85251-6915
Phone (480) 448-7500
Other practice location 5
7701 W Aspera Blvd
Stes 102, 201, 301
Glendale, AZ 85308-7935
Phone (623) 248-2100
Other practice location 6
9165 W Thunderbird Rd Ste 200
Peoria, AZ 85381-4847
Phone (623) 285-1120
Other practice location 7
9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone (623) 327-4000
Other practice location 8
13943 N 91st Ave Ste B101
Peoria, AZ 85381-3688
Phone (623) 476-5190
Other practice location 9
13995 W Statler Blvd Bldg 1
Surprise, AZ 85374-5501
Phone (623) 478-3100
Other practice location 10
1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000
Other practice location 11
1432 S Dobson Rd Ste 304
Mesa, AZ 85202-4773
Phone (480) 412-7400
Other practice location 12
1435 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 668-1600
Other practice location 13
14416 W Meeker Blvd
Sun City West, AZ 85375-5284
Phone (623) 876-3800
Other practice location 14
14420 W Meeker Blvd Ste 104
Sun City West, AZ 85375-5287
Phone (623) 583-5300
Other practice location 15
14502 W Meeker Blvd
Sun City West, AZ 85375-5282
Phone (623) 524-4000
Other practice location 16
1520 S Dobson Rd Ste 203
Mesa, AZ 85202-4726
Phone (480) 733-7535
Other practice location 17
1520 S Dobson Rd Ste 206
Mesa, AZ 85202-4753
Phone (480) 412-8080
Other practice location 18
155 E Warner Rd
Gilbert, AZ 85296-3082
Phone (480) 649-6600
Other practice location 19
1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 543-2688
Other practice location 20
1917 S Crismon Rd
Mesa, AZ 85209-6216
Phone (480) 610-7100
Other practice location 21
1920 N Higley Rd Ste 206
Gilbert, AZ 85234-1624
Phone (480) 543-6700
Other practice location 22
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000
Other practice location 23
1125 S Alma School Rd Ste 210
Chandler, AZ 85286-2811
Phone (480) 733-7300
Other practice location 24
1125 S Alma School Rd Ste 310
Chandler, AZ 85286-2812
Phone (480) 733-7305
Other practice location 25
1432 S Dobson Rd Ste 107
Mesa, AZ 85202-4769
Phone (480) 681-4453
Other practice location 26
6750 E Baywood Ave Ste 507
Mesa, AZ 85206-1749
Phone (480) 684-6487
Other practice location 27
1400 S Dobson Rd Ste 100
Mesa, AZ 85202-4707
Phone (833) 924-2019
Other practice location 28
1920 N Higley Rd Ste 308
Gilbert, AZ 85234-1625
Phone (480) 543-6600
Other practice location 29
1940 N Alma School Rd
Chandler, AZ 85224-2841
Phone (480) 890-0280
Other practice location 30
20751 W Market St
Buckeye, AZ 85396-7893
Phone (623) 463-5000
Other practice location 31
21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709
Phone (480) 512-3700
Other practice location 32
4375 E Irma Ln
Phoenix, AZ 85050-4312
Phone (480) 890-5800
Other practice location 33
4530 E Ray Rd Ste 190
Phoenix, AZ 85044-6098
Phone (480) 827-5420
Other practice location 34
4720 E Greenway Rd
Phoenix, AZ 85032-4355
Phone (602) 439-6000
Other practice location 35
5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555
Other practice location 36
5601 W Eugie Ave Ste 100
Glendale, AZ 85304-1256
Phone (602) 865-4510
Other practice location 37
5757 W Thunderbird Rd Ste E151
Glendale, AZ 85306-4685
Phone (602) 865-4570
Other practice location 38
5757 W Thunderbird Rd Ste E456
Glendale, AZ 85306-4650
Phone (623) 476-5190
Other practice location 39
6424 E Broadway Rd Ste 105
Mesa, AZ 85206-1750
Phone (480) 684-6487
Other practice location 40
6553 E Baywood Ave Ste 101
Mesa, AZ 85206-1753
Phone (480) 543-6750
Other practice location 41
1300 S Country Club Dr Ste 3
Mesa, AZ 85210-5162
Phone (480) 827-5500
Other practice location 42
1920 N Higley Rd Ste 306
Gilbert, AZ 85234-1625
Phone (480) 543-6700
Other practice location 43
13640 N Plaza Del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 876-3800
Other practice location 44
9305 W Thomas Rd Ste 360
Phoenix, AZ 85037-3367
Phone (623) 327-8200
Other practice location 45
9305 W Thomas Rd Ste 380
Phoenix, AZ 85037-3368
Phone (623) 327-4144
Other practice location 46
9780 S Estrella Pkwy
Goodyear, AZ 85338-7114
Phone (623) 474-8101
Other practice location 47
7575 E Earll Dr Ste 100
Scottsdale, AZ 85251-6915
Phone (480) 827-5320
Other practice location 48
1800 N Civic Sq Ste 200, 220, 320
Goodyear, AZ 85395-2391
Phone (623) 465-6506
Other practice location 49
10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 646505 | Medicaid | AZ |
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 |
Other NPIs with the same Medicare PAC ID 9
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Chandler, AZ
- NPI 1063260909
6204002272
-
- Durable Medical Equipment & Medical Supplies
- Glendale, AZ
- NPI 1073295036
6204002272
-
- Durable Medical Equipment & Medical Supplies
- Queen Creek, AZ
- NPI 1477301364
6204002272
-
- Durable Medical Equipment & Medical Supplies
- Sun City West, AZ
- NPI 1548538069
6204002272
-
- Durable Medical Equipment & Medical Supplies
- Peoria, AZ
- NPI 1588933139
6204002272
-
- Durable Medical Equipment & Medical Supplies
- Glendale, AZ
- NPI 1821846726
6204002272
-
- Durable Medical Equipment & Medical Supplies
- Gilbert, AZ
- NPI 1861249740
6204002272
-
- Durable Medical Equipment & Medical Supplies
- Surprise, AZ
- NPI 1972351815
6204002272
-
- Durable Medical Equipment & Medical Supplies
- Peoria, AZ
- NPI 1992073498
6204002272
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
- Phoenix, AZ
- NPI 1316228802
O20111222000509
-
- Multi-Specialty Clinic/Center
- Page, AZ
- NPI 1366799355
O20111222000509
National Provider Directory
National Provider Directory- Part of
- Tiffany Weathers
Locations
1125 S Alma School Rd
Ste 310
Chandler, AZ 85286
Phone (480) 684-6157
5757 W Thunderbird Rd
Ste E456
Glendale, AZ 85306
Phone (602) 843-1777
7701 W Aspera Blvd
#102
Glendale, AZ 85308
1300 S Country Club Dr
Ste 3
Mesa, AZ 85210
Phone (480) 827-5500
6553 E Baywood Ave
Ste 212
Mesa, AZ 85206
Phone (480) 543-6750
14420 W Meeker Blvd
Ste 104
Sun City West, AZ 85375
Phone (623) 583-5300
Practitioners & affiliated clinicians
Practitioners 669
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Peoria, AZ
- NPI 1336394956
-
- Physician Assistant
- Gilbert, AZ
- NPI 1891415253
-
- Gastroenterology Physician
- Phoenix, AZ
- NPI 1255691895
-
- Gastroenterology Physician
- Chandler, AZ
- NPI 1689084774
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Sun City West, AZ
- NPI 1366896607
-
- Internal Medicine Physician
- Chandler, AZ
- NPI 1730140781
-
- Physician Assistant
- Peoria, AZ
- NPI 1053762658
-
- Physician Assistant
- Gilbert, AZ
- NPI 1457966640
-
- Critical Care Medicine (Internal Medicine) Physician
- Sun City West, AZ
- NPI 1396772356
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1215400478
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Goodyear, AZ
- NPI 1821551128
-
- Foot & Ankle Surgery Podiatrist
- Gilbert, AZ
- NPI 1205065893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782259200000",
"number": "1821368218",
"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": "2901 N CENTRAL AVE STE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122702",
"telephone_number": "602-747-4000"
}
],
"practiceLocations": [
{
"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": "7701 W Aspera Blvd",
"address_2": "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": "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"
},
{
"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": "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": "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": "852024726",
"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": "480-412-8080",
"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": "480-543-2688",
"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": "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": "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": "1432 S Dobson Rd Ste 107",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852024769",
"country_code": "US",
"telephone_number": "480-681-4453",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6750 E Baywood Ave Ste 507",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852061749",
"country_code": "US",
"telephone_number": "480-684-6487",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 S Dobson Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852024707",
"country_code": "US",
"telephone_number": "833-924-2019",
"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": "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": "850446098",
"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": "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": "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": "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": "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": "852061753",
"country_code": "US",
"telephone_number": "480-543-6750",
"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": "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": "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": "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": "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": "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": "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"
}
],
"basic": {
"organization_name": "BANNER PHYSICIAN SPECIALISTS ARIZONA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER MEDICAL GROUP ARIZONA",
"enumeration_date": "2012-01-03",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "646505",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- 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
- Banner Physician Super Specialists Arizona LLC
- Banner Primary Care Physicians Arizona LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.