BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
NPI 1093083503
Durable Medical Equipment & Medical Supplies in Peoria, AZ
NPI Status: Active since December 12, 2011
Contact Information
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ
ZIP 85381
Phone: (623) 876-3800
- Organization
- Durable Medical Equipment & Medical Supp...
- Accepts Insurance
- CLIA Number: 03D2053694
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-04-2027
About BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
This page provides the complete NPI Profile along with additional information for Banner Primary Care Physicians Arizona Llc, a provider established in Peoria, Arizona operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1093083503 assigned on December 2011. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dennis Laraway (Cfo)
- NPI
- 1093083503
- Provider Name
- BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
- Entity Type
- Organization
- Location Address
- 13640 N PLAZA DEL RIO BLVD PEORIA, AZ 85381
- Location Phone
- (623) 876-3800
- Mailing Address
- 2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
- Mailing Phone
- (602) 747-4000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-12-2011
- Last Update Date
- 12-27-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2053694
- Facility Type
- Physician Office
- Certificate Effective Date
- February 05, 2025
- Certificate Expiration Date
- February 04, 2027
- Laboratory Director
- CHRISTINA BILIACK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Banner Primary Care Physicians Arizona Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 9 | 3 | 0 | 8 | 3 | 5 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 0 | 8 | 6 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 0 + 8 + 6 + 5 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1093083503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649279654 | MR. JOHN PETER KIELEY MD Individual | Internal Medicine | 13640 N PLAZA DEL RIO BLVD SUITE 220 PEORIA, AZ 85381 (623) 876-3850 |
| 1780662320 | DR. JAMES M GORDON M.D. Individual | Internal Medicine (Gastroenterology) | 13640 N PLAZA DEL RIO BLVD PEORIA, AZ 85381 (623) 876-3900 |
| 1750347936 | BANNER ARIZONA MEDICAL CLINIC LTD Organization | Clinic/Center (Multi-Specialty) | 13640 N PLAZA DEL RIO BLVD PEORIA, AZ 85381 (623) 876-3800 |
| 1871542456 | SHERI WITZER MED, RD, BSN, CDE Individual | Clinical Nurse Specialist | 13640 N PLAZA DEL RIO BLVD STE 340 PEORIA, AZ 85381 (623) 876-6960 |
| 1669422085 | CARLA R STUART NP Individual | Nurse Practitioner (Adult Health) | 13640 N PLAZA DEL RIO BLVD PEORIA, AZ 85381 (623) 876-3800 |
| 1205886520 | PETER Y LEE MD Individual | Internal Medicine (Cardiovascular Disease) | 13640 N PLAZA DEL RIO BLVD STE 230 PEORIA, AZ 85381 (623) 876-3810 |
| 1912956392 | PHILLIP SIROTA MD Individual | Internal Medicine | 13640 N PLAZA DEL RIO BLVD PEORIA, AZ 85381 (623) 876-3800 |
| 1881644128 | JOHN S WEBSTER MD Individual | Internal Medicine | 13640 N PLAZA DEL RIO BLVD PEORIA, AZ 85381 (623) 876-3800 |
| 1962452748 | EDWARD H KOWALESKI MD Individual | Family Medicine | 13640 N PLAZA DEL RIO BLVD STE 350 PEORIA, AZ 85381 (623) 876-8600 |
| 1770535460 | MS. LESA MARIE REDA FNP Individual | Nurse Practitioner (Family) | 13640 N PLAZA DEL RIO BLVD STE 210 PEORIA, AZ 85381 (623) 876-3830 |
| 1851345490 | LISA M GAZIA FNP-C Individual | Nurse Practitioner | 13640 N PLAZA DEL RIO BLVD STE 240 PEORIA, AZ 85381 (623) 876-3840 |
| 1205880861 | L STAFFAN PETTERSSON MD Individual | Internal Medicine | 13640 N PLAZA DEL RIO BLVD STE 220 PEORIA, AZ 85381 (623) 876-3850 |
| 1730133364 | EUGENE L SEVERINO MD Individual | Internal Medicine | 13640 N PLAZA DEL RIO BLVD STE 210 PEORIA, AZ 85381 (623) 876-3830 |
| 1851345334 | DR. SEKAR ANNAMALAI MD Individual | Internal Medicine | 13640 N PLAZA DEL RIO BLVD STE 350 PEORIA, AZ 85381 (623) 876-3710 |
| 1043267974 | OLIVER J HARPER MD Individual | Family Medicine | 13640 N PLAZA DEL RIO BLVD STE 210 PEORIA, AZ 85381 (623) 876-3830 |
| 1902853211 | ANNE T HILLIER NP Individual | Nurse Practitioner | 13640 N PLAZA DEL RIO BLVD STE 240 PEORIA, AZ 85381 (623) 876-3840 |
| 1538106570 | DAVID ENGEL MD Individual | Internal Medicine | 13640 N PLAZA DEL RIO BLVD STE 210 PEORIA, AZ 85381 (623) 876-3830 |
| 1235176207 | GERALD L OLDHAM MD Individual | Internal Medicine | 13640 N PLAZA DEL RIO BLVD STE 220 PEORIA, AZ 85381 (623) 876-3850 |
| 1932147071 | DAVID K EMERSON MD Individual | Internal Medicine | 13640 N PLAZA DEL RIO BLVD STE 350 PEORIA, AZ 85381 (623) 876-8600 |
| 1174560494 | LINDA E LEECH MD Individual | Family Medicine | 13640 N PLAZA DEL RIO BLVD STE 350 PEORIA, AZ 85381 (623) 876-8600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093083503, enumerated in the NPI registry as an "organization" on December 12, 2011
The provider is located at 13640 N Plaza Del Rio Blvd Peoria, Az 85381 and the phone number is (623) 876-3800
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 03D2053694 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 12, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.