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BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
NPI 1326710906
Nutritionist - Nutrition, Education in Peoria, AZ

Active since October 01, 2021
9165 W THUNDERBIRD RD, PEORIA, AZ 85381(623) 285-1120(623) 285-2626 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2021, Oct 1, 2021 (2 updates tracked since 2021).

About Banner Physician Specialists Arizona Llc NPPES

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

BANNER PHYSICIAN SPECIALISTS ARIZONA LLC (NPI 1326710906) is a healthcare organization registered as a nutrition, education in Peoria, Arizona and active in the NPI registry since October 2021. The organization lists Dennis Laraway, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1326710906
Entity TypeOrganization
Primary Taxonomy133NN1002X
Legal Business NameBANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Location Address9165 W THUNDERBIRD RDPeoria, AZ 85381-4847
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(623) 285-1120
Fax(623) 285-2626
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialDennis LarawayChief Financial Officer · (602) 747-4000
Enumeration DateOctober 1, 2021
Last NPPES UpdateDecember 29, 20212 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1326710906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
9165 W THUNDERBIRD RD, Peoria, AZ 85381
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

DR. NATALYA B FAYNBOYM MD
Physical Medicine & Rehabilitation
9165 W THUNDERBIRD RD, STE 100
PEORIA, AZ 85381
Maricopa County (623) 523-6560
MICHAEL A BUMANGLAG PA-C
Physician Assistant (Surgical)
9165 W THUNDERBIRD RD, SUITE 200
PEORIA, AZ 85381
Maricopa County (623) 876-3870
SUSAN C RALSTON RN MSN ARNP
Nurse Practitioner (Acute Care)
9165 W THUNDERBIRD RD, SUITE 101
PEORIA, AZ 85381
Maricopa County (623) 523-6555
DR. LEONARD A JASINSKI MD
Family Medicine
9165 W THUNDERBIRD RD, SUITE 101
PEORIA, AZ 85381
Maricopa County (623) 523-6555
JOSEPH B DOBRUSIN DPM
Podiatrist
9165 W THUNDERBIRD RD, STE 200
PEORIA, AZ 85381
Maricopa County (623) 876-3870
DUSTIN C WAITE PA-C
Physician Assistant
9165 W THUNDERBIRD RD, STE 200
PEORIA, AZ 85381
Maricopa County (623) 876-3870
DR. SAMANTHA ANN KARR PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9165 W THUNDERBIRD RD, SUITE 100
PEORIA, AZ 85381
Maricopa County (623) 876-6960
MARTIN BENOIT MD
Orthopaedic Surgery
9165 W THUNDERBIRD RD, STE 200
PEORIA, AZ 85381
Maricopa County (623) 876-3870

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 Physician Specialists Arizona LLC's NPI number?

The NPI number for Banner Physician Specialists Arizona LLC is 1326710906. It was assigned to this organization in the NPPES registry on October 1, 2021.

Where is Banner Physician Specialists Arizona LLC located?

Banner Physician Specialists Arizona LLC is located at 9165 W Thunderbird Rd, Peoria, AZ 85381. The listed phone number is (623) 285-1120.

What is Banner Physician Specialists Arizona LLC's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Banner Physician Specialists Arizona LLC was last updated on December 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.