BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS SURGICAL SERVICES
NPI 1447461843
Clinic/Center - Medical Specialty in Phoenix, AZ

Active since May 25, 2007
1300 N 12TH ST, STE 610, PHOENIX, AZ 85006(602) 239-3432 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Medical Specialty

About BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS SURGICAL SERVICES

This page provides the complete NPI Profile along with additional information for Banner -- University Medical Center Phoenix Campus Surgical Services, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1447461843 assigned on May 2007. The practitioner's primary taxonomy code is 261QM2500X with license number PENDING (). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dennis E Dahlen (Sr Vp Finance)

NPI
1447461843 Verify this NPI
Provider Name
BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS SURGICAL SERVICES
Entity Type
Organization
Location Address
1300 N 12TH ST STE 610 PHOENIX, AZ 85006
Location Phone
(602) 239-3432
Mailing Address
1441 N 12TH ST PHOENIX, AZ 85006
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-25-2007
Last Update Date
02-26-2015
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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 Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
PENDING
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DENNIS E DAHLEN

Authorized Official Title
SR VP FINANCE
Authorized Official Phone
(602) 747-4000

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
Z119967MEDICARE PIN (08) 

Reviews for BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS SURGICAL SERVICES

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006
Emergency Medicine
1300 N 12TH ST, SUITE 301
PHOENIX, AZ 85006
Physical Therapist
1300 N 12TH ST, STE 506
PHOENIX, AZ 85006
Physician Assistant
1300 N 12TH ST
PHOENIX, AZ 85006
Nurse Practitioner
1300 N 12TH ST, SUITE 407
PHOENIX, AZ 85006
Internal Medicine
1300 N 12TH ST, STE 518
PHOENIX, AZ 85006
Surgery
1300 N 12TH ST, #616
PHOENIX, AZ 85006
Internal Medicine
1300 N 12TH ST, SUITE 508
PHOENIX, AZ 85006
Nurse Practitioner
1300 N 12TH ST, SUITE 404
PHOENIX, AZ 85006
Dietitian, Registered
1300 N 12TH ST, SUITE 610
PHOENIX, AZ 85006
Internal Medicine
1300 N 12TH ST, SUITE 508
PHOENIX, AZ 85006
Family Medicine
1300 N 12TH ST
PHOENIX, AZ 85006
Dietitian, Registered
1300 N 12TH ST, SUITE 610
PHOENIX, AZ 85006
Family Medicine
1300 N 12TH ST
PHOENIX, AZ 85006
Internal Medicine
1300 N 12TH ST, SUITE 508
PHOENIX, AZ 85006
Internal Medicine
1300 N 12TH ST, SUITE 508
PHOENIX, AZ 85006
Rehabilitation Practitioner
1300 N 12TH ST
PHOENIX, AZ 85006
Family Medicine
1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006
Psychologist (Clinical)
1300 N 12TH ST, SUITE 610
PHOENIX, AZ 85006
Family Medicine
1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447461843, enumerated as an "organization" on May 25, 2007.

The provider is located at 1300 N 12TH ST STE 610 PHOENIX, AZ 85006 and the phone number is (602) 239-3432.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.