BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC – NPI #1316294242
Clinic/Center

BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC is an AHC clinic located in PAGE, AZ. NPPES has assigned the NPI number 1316294242 to BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC on August 09, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was last updated on Apr 16, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC below.

NPI Profile for
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC

NPI Number
1316294242
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
Primary location
501 N NAVAJO
MAILING PO BOX 1447 PAGE 86040-1447
PAGE, AZ 86040
Phone: (928) 645-0112 Fax:
Mailing address
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone: Fax:
Organization Subpart
Yes - BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC is subpart of another organization.
Authorized Official
SHIVA BIRDI
CEO
Phone: (602) 747-4000
Updated
Certification Date
Apr 16, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.