Banner -- University Medical Center Phoenix Campus Liver Disease Servi

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI

Practice address

1521 E Tangerine Rd
Oro Valley, AZ 85755-6225

Phone

(602) 239-2606

NPI assigned

Feb 18, 2010

Last updated

Feb 26, 2015By 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 VP Finance

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Part of

Custer Comm Hosp Rad

Member of 1

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

• Banner Health

  • Durable Medical Equipment & Medical Supplies
  • Casper, WY
  • NPI 1528846912

  Member Of

  NPD member

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1851613897",
    "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": "1521 E TANGERINE RD",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556225",
            "telephone_number": "602-239-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2010-02-18",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR VP FINANCE",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Az Oms Specialty Dental Services, LLC
• Carley Linn Baghai, DNP, PMHNP-BC, APRN
• Kanwal Naveen Singh Bains, MD
• Patricia Baird, NP-C
• Emily Anne Ball, AUD
• Darlene Banzhaf, PHARMD
• Lori Barbula, NP
• Megan Bardach, PT
• Barnet Dulaney Perkins Eye Center
• Barnet Dulaney Perkins Eye Center, PC

• Medical Specialty Clinic/Center in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.