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BANNER EXECUTIVE HEALTH LLC
NPI 1447956107
Internal Medicine in Phoenix, AZ

Active since February 03, 2023
4200 E CAMELBACK RD # 102, PHOENIX, AZ 85018(602) 229-2128 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 16, 2026, Feb 3, 2023 (2 updates tracked since 2023).

About Banner Executive Health Llc NPPES

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

BANNER EXECUTIVE HEALTH LLC (NPI 1447956107) is a healthcare organization registered as an internal medicine in Phoenix, Arizona and active in the NPI registry since February 2023. The organization lists Patrick Penrose, Vp, as its authorized official.

NPPES Registry Identity

NPI1447956107
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBANNER EXECUTIVE HEALTH LLC
Location Address4200 E CAMELBACK RD # 102Phoenix, AZ 85018-2718
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(602) 229-2128
Organization SubpartYesParent: Banner Health
Authorized OfficialPatrick PenroseVp · (602) 747-4000
Enumeration DateFebruary 3, 2023
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1447956107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
4200 E CAMELBACK RD # 102, Phoenix, AZ 85018
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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

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 Executive Health LLC's NPI number?

The NPI number for Banner Executive Health LLC is 1447956107. It was assigned to this organization in the NPPES registry on February 3, 2023.

Where is Banner Executive Health LLC located?

Banner Executive Health LLC is located at 4200 E Camelback Rd # 102, Phoenix, AZ 85018. The listed phone number is (602) 229-2128.

What is Banner Executive Health LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Banner Executive Health LLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.