BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC – NPI #1386462810
Durable Medical Equipment & Medical Supplies

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.

Health Care Provider Taxonomy Code for Durable Medical Equipment & Medical Supplies

BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC is a DME supplier located in MESA, AZ. NPPES has assigned the NPI number 1386462810 to BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC on October 02, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 332B00000X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies.

The NPI profile was last updated on Oct 30, 2024. 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 PHYSICIAN SUPER SPECIALISTS ARIZONA LLC below.

NPI Profile for
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC

NPI Number
1386462810
Enumeration Date

(about 2 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 PHYSICIAN SUPER SPECIALISTS ARIZONA LLC
Primary location
1432 S DOBSON RD STE 304
MESA, AZ 85202-4773
Phone: (480) 412-7400 Fax:
Mailing address
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone: (602) 747-4000 Fax:
Organization Subpart
Yes - BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC is subpart of another organization.
Authorized Official
SHIVA BIRDI
CEO BMG
Phone: (602) 747-4000
Updated
Certification Date
Oct 30, 2024

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
332B00000X
- Durable Medical Equipment & Medical Supplies (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.