BANNER ARIZONA MEDICAL CLINIC LTD
NPI 1750347936
Clinic/Center - Multi-Specialty in Peoria, AZ
NPI Status: Active since April 25, 2006
Contact Information
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ
ZIP 85381
Phone: (623) 876-3800
Fax: (623) 972-9590
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
About BANNER ARIZONA MEDICAL CLINIC LTD
This page provides the complete NPI Profile along with additional information for Banner Arizona Medical Clinic Ltd, a provider established in Peoria, Arizona operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1750347936 assigned on April 2006. The practitioner's primary taxonomy code is 261QM1300X with license number OTC3936 (AZ). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dennis Dahlen (Sr Vice President - Finance)
- NPI
- 1750347936
- Provider Name
- BANNER ARIZONA MEDICAL CLINIC LTD
- Entity Type
- Organization
- Location Address
- 13640 N PLAZA DEL RIO BLVD PEORIA, AZ 85381
- Location Phone
- (623) 876-3800
- Location Fax
- (623) 972-9590
- Mailing Address
- 13640 N PLAZA DEL RIO BLVD PEORIA, AZ 85381
- Mailing Phone
- (623) 876-3800
- Mailing Fax
- (623) 972-9590
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-25-2006
- Last Update Date
- 12-03-2008
- 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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- OTC3936
- License State
- AZ
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
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZWCKJD | MEDICARE PIN (08) | AZ | |
| CG6295 | MEDICARE PIN (08) | AZ | |
| 0516437 | MEDICAID (05) | AZ | |
| ZWCFGW | MEDICARE PIN (08) | AZ | |
| DE5522 | MEDICARE PIN (08) | AZ | |
| CV0039 | MEDICARE PIN (08) | AZ |
Reviews for BANNER ARIZONA MEDICAL CLINIC LTD
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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 | 7 | 5 | 0 | 3 | 4 | 7 | 9 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 4 | 14 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 4 + 1 + 4 + 9 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1750347936 is valid because the calculated check digit 6 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 |
| 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 |
| 1346280450 | AMES YEE MD Individual | Surgery | 13640 N PLAZA DEL RIO BLVD STE 310 PEORIA, AZ 85381 (623) 876-3910 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750347936, enumerated in the NPI registry as an "organization" on April 25, 2006
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 Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 25, 2006. 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.