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BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
NPI 1992433197
Nutritionist - Nutrition, Education in Phoenix, AZ

Active since August 15, 2022
4375 E IRMA LN, PHOENIX, AZ 85050(480) 890-5800(480) 890-5920 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1992433197) is a healthcare organization registered as a nutrition, education in Phoenix, Arizona and active in the NPI registry since August 2022. The organization lists Shiva Birdi, Ceo/bmg, as its authorized official.

NPPES Registry Identity

NPI1992433197
Entity TypeOrganization
Primary Taxonomy133NN1002X
Legal Business NameBANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Location Address4375 E IRMA LNPhoenix, AZ 85050-4312
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(480) 890-5800
Fax(480) 890-5920
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialShiva BirdiCeo/bmg · (602) 747-4000
Enumeration DateAugust 15, 2022
NPPES CertifiedAugust 15, 2022
✔ NPI 1992433197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
4375 E IRMA LN, Phoenix, AZ 85050
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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.

DR. ANDREA ELIZABETH GOLDBERG MD
Internal Medicine
4375 E IRMA LN
PHOENIX, AZ 85050
Maricopa County (480) 890-5800
ANDREW WEINBERG DO
Internal Medicine (Gastroenterology)
4375 E IRMA LN
PHOENIX, AZ 85050
Maricopa County (480) 890-5800
MARIA KHAN M.D.
Pediatrics
4375 E IRMA LN
PHOENIX, AZ 85050
Maricopa County (480) 890-5800
MARK MORALES MD
Pediatrics
4375 E IRMA LN
PHOENIX, AZ 85050
Maricopa County (480) 890-5800
JONIDA KRATE MD
Internal Medicine
4375 E IRMA LN
PHOENIX, AZ 85050
Maricopa County (480) 890-5800
BANNER CONCIERGE SERVICES LLC
Clinic/Center (Multi-Specialty)
4375 E IRMA LN
PHOENIX, AZ 85050
Maricopa County (480) 890-5800
MARY ELLEN RADOSEVICH FNP-C
Nurse Practitioner (Family)
4375 E IRMA LN
PHOENIX, AZ 85050
Maricopa County (480) 890-5800
NOLAWI M MENGESHA M.D.
Internal Medicine
4375 E IRMA LN
PHOENIX, AZ 85050
Maricopa County (480) 890-5800

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 1992433197. It was assigned to this organization in the NPPES registry on August 15, 2022.

Where is Banner Physician Specialists Arizona LLC located?

Banner Physician Specialists Arizona LLC is located at 4375 E Irma Ln, Phoenix, AZ 85050. The listed phone number is (480) 890-5800.

What is Banner Physician Specialists Arizona LLC's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Banner Physician Specialists Arizona LLC was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.