DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BANNER PHOENIX SURGERY CENTER LLC

MEDICARE: BANNER PHOENIX SURGERY CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1770008922
Entity Type Code : Organization
Provider Name (Legal Business Name) : BANNER PHOENIX SURGERY CENTER LLC
Provider Business Mailing Address
First Line : 2901 N CENTRAL AVE STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1111 E MCDOWELL RD STE B
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2612
Country : US
Telephone Number : 602-368-3854
Fax Number : 602-865-7261
Authorized Official
Title or Position : VP
Name : PATRICK PENROSE
Credential :
Telephone Number : 602-747-4000
Provider Enumeration Date : 08/09/2017
Last Update Date : 04/17/2026

Similar Medicare Providers

1437092418 — ARIANNA PAKZADEH
Practice Location Address:
1111 E MCDOWELL RD
PHOENIX, AZ
85006-2612
Practice Phone: 602-839-2147
Practice Fax:
1316368459 — BANNER PHARMACY SERVICES LLC
Practice Location Address:
1111 E MCDOWELL RD
PHOENIX, AZ
85006-2612
Practice Phone: 602-839-2300
Practice Fax: 602-839-4226
1629122171 — BANNER - UNIVERSITY MEDICAL CENTER PHOENIX
Practice Location Address:
1111 E MCDOWELL RD
PHOENIX, AZ
85006-2612
Practice Phone: 602-239-2000
Practice Fax: 602-839-3749
1841224870 — BANNER - UNIVERSITY MEDICAL CENTER PHOENIX
Practice Location Address:
1111 E MCDOWELL RD
PHOENIX, AZ
85006-2612
Practice Phone: 602-839-2000
Practice Fax:
1801738521 — MICHAEL WILLIAM STICKELS MD
Practice Location Address:
1111 E MCDOWELL RD
PHOENIX, AZ
85006-2612
Practice Phone: 602-839-2000
Practice Fax:
1255334785 — DR. TODD BRIAN TAYLOR M.D.
Practice Location Address:
1111 E MCDOWELL RD
PHOENIX, AZ
85006-2612
Practice Phone: 602-239-6968
Practice Fax:

Directions to “BANNER PHOENIX SURGERY CENTER LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.