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BANNER OCCUPATIONAL HEALTH ARIZONA LLC
NPI 1477196277
Clinic/Center - Occupational Medicine in Mesa, AZ

Active since October 24, 2019
2225 W SOUTHERN AVE, MESA, AZ 85202(480) 412-6374 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Banner Occupational Health Arizona Llc NPPES

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

BANNER OCCUPATIONAL HEALTH ARIZONA LLC (NPI 1477196277) is a healthcare organization registered as an occupational medicine in Mesa, Arizona and active in the NPI registry since October 2019. The organization lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477196277
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameBANNER OCCUPATIONAL HEALTH ARIZONA LLC
Location Address2225 W SOUTHERN AVEMesa, AZ 85202-4716
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(480) 412-6374
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateOctober 24, 2019
✔ NPI 1477196277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
2225 W SOUTHERN AVE, Mesa, AZ 85202
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Other Providers at the Same Location NPPES 12

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

MARGARET SUDIMACK
Speech-Language Pathologist
2225 W SOUTHERN AVE
MESA, AZ 85202
Maricopa County (623) 888-3502
JENNIFER NIELSEN OT
Occupational Therapist
2225 W SOUTHERN AVE
MESA, AZ 85202
Maricopa County (623) 888-3502
SHEILA J ZOLLICOFFER-MANLEY NP
Nurse Practitioner
2225 W SOUTHERN AVE
MESA, AZ 85202
Maricopa County (480) 512-3000
CAMILLE TINGLE PT, DPT
Physical Therapist (Orthopedic)
2225 W SOUTHERN AVE
MESA, AZ 85202
Maricopa County (480) 412-4101
MISS ARIEL DANIELLE DEMORET M.S., CCC-SLP
Speech-Language Pathologist
2225 W SOUTHERN AVE
MESA, AZ 85202
Maricopa County (623) 888-3502
TATYN MOEN
Speech-Language Pathologist
2225 W SOUTHERN AVE
MESA, AZ 85202
Maricopa County (623) 888-3502
ADDISON MARIE ROTAN PT, DPT
Physical Therapist
2225 W SOUTHERN AVE
MESA, AZ 85202
Maricopa County (623) 888-3502
SARAH M KING OT
Occupational Therapist
2225 W SOUTHERN AVE
MESA, AZ 85202
Maricopa County (937) 371-6464

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 Occupational Health Arizona LLC's NPI number?

The NPI number for Banner Occupational Health Arizona LLC is 1477196277. It was assigned to this organization in the NPPES registry on October 24, 2019.

Where is Banner Occupational Health Arizona LLC located?

Banner Occupational Health Arizona LLC is located at 2225 W Southern Ave, Mesa, AZ 85202. The listed phone number is (480) 412-6374.

What is Banner Occupational Health Arizona LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

When was this NPI record last updated?

The NPPES record for Banner Occupational Health Arizona LLC was last updated on October 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.