BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS FAMILY MEDICINE
NPI 1124073747
Family Medicine in Phoenix, AZ

Q: What is Banner -- University Medical Center Phoenix Campus Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 23, 2006

1300 N 12TH ST, STE 605, PHOENIX, AZ 85006(602) 239-4567(602) 239-2067 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Banner -- University Medical Center Phoenix Campus Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS FAMILY MEDICINE (NPI 1124073747) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since May 2006. The organization lists Dennis E Dahlen, Sr Vice President - Finance, as its authorized official.

NPPES Registry Identity

NPI1124073747

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS FAMILY MEDICINE

Location Address1300 N 12TH ST, STE 605Phoenix, AZ 85006-2848

Mailing Address1441 N 12th StPhoenix, AZ 85006-2837

Phone(602) 239-4567

Fax(602) 239-2067

Organization SubpartYesParent: Banner Health

Authorized OfficialDennis E DahlenSr Vice President - Finance · (602) 747-4000

Enumeration DateMay 23, 2006

Last NPPES UpdateFebruary 26, 2015

✔ NPI 1124073747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1300 N 12TH ST, Phoenix, AZ 85006

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Other Identifiers 2

Medicaid767618AZ

Medicare PINZ74065AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DIANA LYNELLE DABELL M.D.

Emergency Medicine

1300 N 12TH ST, STE 301
PHOENIX, AZ 85006

Maricopa County (602) 839-6968

PINNACLE COLON AND RECTAL SURGEONS, PLLC

Specialist

1300 N 12TH ST, SUITE 619
PHOENIX, AZ 85006

Maricopa County (602) 714-5482

INTERNISTS, ONCOLOGISTS LTD

Internal Medicine (Hematology & Oncology)

1300 N 12TH ST, SUITE 612
PHOENIX, AZ 85006

Maricopa County (602) 258-4875

PHILIP KACZAR MD PC

Internal Medicine

1300 N 12TH ST, SUITE #516
PHOENIX, AZ 85006

Maricopa County (602) 252-3967

BARBARA J RUNQUIST NP

Nurse Practitioner

1300 N 12TH ST, SUITE 404
PHOENIX, AZ 85006

Maricopa County (602) 839-0265

DR. ROBERT DEAN RIERSON MD

Obstetrics & Gynecology

1300 N 12TH ST, SUITE 501
PHOENIX, AZ 85006

Maricopa County (602) 839-4915

MISS FARRAH L BLACK PA

Physician Assistant (Medical)

1300 N 12TH ST, STE 500
PHOENIX, AZ 85006

Maricopa County (602) 839-2606

VIKTORIA KRAJNC MD

Family Medicine

1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006

Maricopa County (602) 839-5271

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banner -- University Medical Center Phoenix Campus Family Medicine's NPI number?

The NPI number for Banner -- University Medical Center Phoenix Campus Family Medicine is 1124073747. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Banner -- University Medical Center Phoenix Campus Family Medicine located?

Banner -- University Medical Center Phoenix Campus Family Medicine is located at 1300 N 12th St Ste 605, Phoenix, AZ 85006. The listed phone number is (602) 239-4567.

What is Banner -- University Medical Center Phoenix Campus Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Banner -- University Medical Center Phoenix Campus Family Medicine accept?

Health plans from Ambetter from Arizona Complete Health list Banner -- University Medical Center Phoenix Campus Family Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Banner -- University Medical Center Phoenix Campus Family Medicine was last updated on February 26, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.