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BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC
NPI 1346062205
Durable Medical Equipment & Medical Supplies in Glendale, AZ

Active since October 30, 2024
5601 W EUGIE AVE STE 100, GLENDALE, AZ 85304(602) 865-4510 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Banner Physician Super Specialists Arizona Llc NPPES

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

BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC (NPI 1346062205) is a healthcare organization registered as a durable medical equipment & medical supplies in Glendale, Arizona and active in the NPI registry since October 2024. The organization lists Shiva Birdi, Ceo Bmg, as its authorized official.

NPPES Registry Identity

NPI1346062205
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC
Location Address5601 W EUGIE AVE STE 100Glendale, AZ 85304-1256
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000
Phone(602) 865-4510
Organization SubpartYesParent: Banner Health
Authorized OfficialShiva BirdiCeo Bmg · (602) 747-4000
Enumeration DateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1346062205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
5601 W EUGIE AVE STE 100, Glendale, AZ 85304
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Accepted Insurance

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

Other Providers at the Same Location NPPES 6

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

DENISE LYN LOPEZ PA-C
Physician Assistant
5601 W EUGIE AVE STE 100
GLENDALE, AZ 85304
Maricopa County (602) 865-4510
DYLAN JAMES KERTZIE
Physician Assistant
5601 W EUGIE AVE STE 100
GLENDALE, AZ 85304
Maricopa County (602) 298-8888
SHASTA ELIZABETH HENDERSON MD
Orthopaedic Surgery (Orthopaedic Trauma)
5601 W EUGIE AVE STE 100
GLENDALE, AZ 85304
Maricopa County (602) 865-4510
DESERT WEST OBGYN
Obstetrics & Gynecology
5601 W EUGIE AVE STE 100
GLENDALE, AZ 85304
Maricopa County (602) 978-1500
DERIC H NYE D.O.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
5601 W EUGIE AVE STE 100
GLENDALE, AZ 85304
Maricopa County (602) 865-4510
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Durable Medical Equipment & Medical Supplies
5601 W EUGIE AVE STE 100
GLENDALE, AZ 85304
Maricopa County (602) 747-4000

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 Super Specialists Arizona LLC's NPI number?

The NPI number for Banner Physician Super Specialists Arizona LLC is 1346062205. It was assigned to this organization in the NPPES registry on October 30, 2024.

Where is Banner Physician Super Specialists Arizona LLC located?

Banner Physician Super Specialists Arizona LLC is located at 5601 W Eugie Ave Ste 100, Glendale, AZ 85304. The listed phone number is (602) 865-4510.

What is Banner Physician Super Specialists Arizona LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does Banner Physician Super Specialists Arizona LLC accept?

Health plans from Ambetter from Arizona Complete Health and Oscar Health Plan, Inc. list Banner Physician Super Specialists Arizona LLC 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 Physician Super Specialists Arizona LLC was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.