| Banner Health Physicians West Llc | |
|
801 E Williams Ave Fallon NV 89406-3052 | |
| (775) 423-3151 | |
| Not Available |
| Full Name | Banner Health Physicians West Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 E Williams Ave, Fallon, Nevada |
| Authorized Official Name and Position | Shiva Birdi (CEO BMG) |
| Authorized Official Contact | 4802563336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Health Physicians West Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Physicians West Llc 801 E Williams Ave Fallon NV 89406-3052 Ph: (775) 423-3151 |
| NPI Number | 1427314186 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 05/23/2023 |
| Medicare PECOS PAC ID | 5092978866 |
|---|---|
| Medicare Enrollment ID | O20120516000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427314186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Kitae Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033188289 PECOS PAC ID: 0446217467 Enrollment ID: I20051201000096 |
| Provider Name | Mark Demar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821050253 PECOS PAC ID: 0143212704 Enrollment ID: I20080519000260 |
| Provider Name | Ralph Narinedhat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922248400 PECOS PAC ID: 7517003627 Enrollment ID: I20091002000566 |
| Provider Name | Thomas V Mccormick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093814527 PECOS PAC ID: 3274621487 Enrollment ID: I20110812000243 |
| Provider Name | Ricardo A Garcia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356304430 PECOS PAC ID: 0446345946 Enrollment ID: I20111214000888 |
| Provider Name | Justin L Heath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295939163 PECOS PAC ID: 8426233255 Enrollment ID: I20140630001443 |
| Provider Name | Timothy M Costa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265586093 PECOS PAC ID: 5698870301 Enrollment ID: I20150901003180 |
| Provider Name | Karen Rodeffer-evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063518595 PECOS PAC ID: 3678476546 Enrollment ID: I20151005001282 |
| Provider Name | Dillon R Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083124879 PECOS PAC ID: 3072873066 Enrollment ID: I20180213001362 |
| Provider Name | Luann D Ochsner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407163074 PECOS PAC ID: 6305089772 Enrollment ID: I20190208001074 |
| Provider Name | Ashley Y Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720407422 PECOS PAC ID: 2365661873 Enrollment ID: I20201027001944 |
| Provider Name | James Zubernis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609974385 PECOS PAC ID: 6507767381 Enrollment ID: I20221104000981 |
| Provider Name | Emily Lozano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053392092 PECOS PAC ID: 3476677212 Enrollment ID: I20230501000967 |
Stillwater Tribal Senior Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Rio Vista Dr, Fallon, NV 89406 Phone: 775-423-3634 | |
Gary C Ridenour Md A Prof Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 W Williams Ave, Ste B, Fallon, NV 89406 Phone: 775-423-6400 Fax: 775-423-9411 | |
Banner Churchill Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 New River Pkwy Ste 100, Fallon, NV 89406 Phone: 775-867-7686 Fax: 775-867-7685 | |
Saint Mary's Outreach Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Williams Ave, Suite 1101, Fallon, NV 89406 Phone: 775-327-8196 | |
Heath Family Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Commercial Way, Fallon, NV 89406 Phone: 775-423-7575 | |
Banner Health Center Fallon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 E Williams Ave, Fallon, NV 89406 Phone: 775-867-7701 Fax: 775-428-2166 |