BANNER SURGERY CENTER - THUNDERBIRD, LLC
NPI 1881225639
Clinic/Center - Ambulatory Surgical in Glendale, AZ

Active since January 30, 2020CLIA 03D2198942 · Waiver
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306(602) 354-8847 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2020, Jan 30, 2020 (2 updates tracked since 2020).

About Banner Surgery Center - Thunderbird, Llc NPPES

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

BANNER SURGERY CENTER - THUNDERBIRD, LLC (NPI 1881225639) is a healthcare organization registered as an ambulatory surgical in Glendale, Arizona and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through November 3, 2026 and lists Aric T Burke, President, as its authorized official.

NPPES Registry Identity

NPI1881225639
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBANNER SURGERY CENTER - THUNDERBIRD, LLC
Location Address5555 W THUNDERBIRD RDGlendale, AZ 85306-4622
Mailing Address2355 E Camelback Rd Ste 700Phoenix, AZ 85016-9044 · (602) 550-0428
Organization SubpartNo
Authorized OfficialAric T BurkePresident · (602) 354-4935
Enumeration DateJanuary 30, 2020
Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
NPI 1881225639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5555 W THUNDERBIRD RD, Glendale, AZ 85306

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2198942

Banner Surgery Center - Thunderbird LLC · Glendale, AZ
Active · expires Nov 3, 2026
CLIA Number03D2198942
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorDerek J. Mitzel
Laboratory Phone(602) 405-5276
Laboratory LocationBanner Surgery Center - Thunderbird LLC5555 W Thunderbird Rd, Suite 150, Glendale, AZ 85306
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
24,871 services92 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
56 services51 patients
Correction of toe joint deformity 28285
Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.
40 services16 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
35 services35 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
30 services29 patients
Incision or partial removal of foot bone (other than big toe) to straighten toe 28308
This procedure involves making a small incision to partially remove a bone in the foot, excluding the big toe. The aim is to straighten a misaligned toe. It helps in relieving pain, improving foot function, and enhancing shoe comfort.
28 services13 patients

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306
Personal Emergency Response Attendant
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306
Emergency Medicine
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306
Internal Medicine (Critical Care Medicine)
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306
Radiology (Diagnostic Radiology)
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306
Pathology (Anatomic Pathology)
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306
Registered Nurse
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306
Hospitalist
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306

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 Surgery Center - Thunderbird, LLC's NPI number?

The NPI number for Banner Surgery Center - Thunderbird, LLC is 1881225639. It was assigned to this organization in the NPPES registry on January 30, 2020.

Where is Banner Surgery Center - Thunderbird, LLC located?

Banner Surgery Center - Thunderbird, LLC is located at 5555 W Thunderbird Rd, Glendale, AZ 85306. The listed phone number is (602) 354-8847.

What is Banner Surgery Center - Thunderbird, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Banner Surgery Center - Thunderbird, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2198942) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Banner Surgery Center - Thunderbird, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Banner Surgery Center - Thunderbird, 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 Surgery Center - Thunderbird, LLC was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.