BANNER PEDIATRIC SPECIALISTS LLC – NPI #1639323447
Clinic/Center
BANNER PEDIATRIC SPECIALISTS LLC is an AHC clinic located in MESA, AZ. NPPES has assigned the NPI number 1639323447 to BANNER PEDIATRIC SPECIALISTS LLC on November 06, 2008. 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 previously updated about 17 years ago on Apr 17, 2009. 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 PEDIATRIC SPECIALISTS LLC below.
NPI Profile for
BANNER PEDIATRIC SPECIALISTS LLC
(more than 17 years ago)
MESA, AZ 85202-4768 Phone: (480) 614-3665 Fax:
PHOENIX, AZ 85006-2837 Phone: Fax:
SR VP FINANCE
Phone: (602) 747-4000
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.