BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
NPI 1477301364
Durable Medical Equipment & Medical Supplies in Queen Creek, AZ

Active since May 07, 2024
37100 N GANTZEL RD STE 107, QUEEN CREEK, AZ 85140(602) 747-4000 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2024, May 7, 2024 (2 updates tracked since 2024).

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 1477301364) is a healthcare organization registered as a durable medical equipment & medical supplies in Queen Creek, Arizona and active in the NPI registry since May 2024. The organization lists Shiva Birdi, Ceo/bmg, as its authorized official.

NPPES Registry Identity

NPI1477301364
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Location Address37100 N GANTZEL RD STE 107Queen Creek, AZ 85140-7350
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000
Organization SubpartYesParent: Banner Health
Authorized OfficialShiva BirdiCeo/bmg · (602) 747-4000
Enumeration DateMay 7, 2024
Last NPPES UpdateSeptember 6, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
NPI 1477301364 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.

37100 N GANTZEL RD STE 107, Queen Creek, AZ 85140

Other Providers at the Same Location NPPES 2

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

Specialist/Technologist (Athletic Trainer)
37100 N GANTZEL RD STE 107
QUEEN CREEK, AZ 85140
Surgery
37100 N GANTZEL RD STE 107
QUEEN CREEK, AZ 85140

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 1477301364. It was assigned to this organization in the NPPES registry on May 7, 2024.

Where is Banner Physician Specialists Arizona LLC located?

Banner Physician Specialists Arizona LLC is located at 37100 N Gantzel Rd Ste 107, Queen Creek, AZ 85140. The listed phone number is (602) 747-4000.

What is Banner Physician Specialists Arizona LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Banner Physician Specialists Arizona LLC was last updated on September 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.