Banner - University Hospital Based Physicians LLC
Organization Active NPI Multi-Specialty Clinic/Center · Phoenix, AZ
NPI 1972213809 · NPPES record last updated Dec 1, 2022
Key facts
- NPI
- 1972213809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC
- Practice address
- 1111 E McDowell Rd
Phoenix, AZ 85006-2612 - Phone
- (602) 839-2000
- NPI assigned
- Dec 1, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- BANNER -- UNIVERSITY MEDICAL GROUP
Authorized official
- Name
- Todd Werner
- Title
- Division President
- Phone
- (602) 747-4000
Member of 2
Practitioners 14
-
Jonathan Patrick Coll, M.D.
-
Mario C Giudici, MD
-
Janice J Hwang, MD
-
David Steven Karlin, M.D.
-
Kambrie Yukie Kato, M.D.
-
Michael Vincent Klein, M.D.
-
Roi M Lotan, MD
-
Archana C Lucchesi, M.D.
-
Andrew J Martin, M.D.
-
Shareef Mohamed Riad, M.D.
-
Hsiu P Su, MD
-
Shota Yamamoto, MD
National Provider Directory
- Part of
- Alison T Stopeck MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes | ||
| Radiology Clinic/Center | 261QR0200X |
Addresses
Primary practice location
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other providers in Phoenix, AZ
- Banner - University Hospital Based Physicians LLC
- Banner - University Hospital Based Physicians LLC
- Banner - University Hospital Based Physicians LLC
- Banner - University Hospital Based Physicians LLC
- Banner - University Hospital Based Physicians LLC
- Banner - University Hospital Based Physicians LLC
- Banner - University Medical Center Phoenix
- Banner - University Medical Center Phoenix
- Banner - University Medical Center Phoenix
- Banner - University Medical Center Phoenix
All providers in Phoenix, AZ · Multi-Specialty Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.