Banner Good Samaritan Bariatric Program
Banner Good Samaritan Bariatric Program is a healthcare organization registered as Clinic/Center in Phoenix, AZ, holding Type 2 (organization) NPI 1134172679 since 2006. The authorized official on file is Dennis Dahlen, Sr Vice President - Finance.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1134172679 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Banner Good Samaritan Bariatric Program |
| Parent organization | Banner Health |
| Practice address | 1300 N 12TH ST, Phoenix, AZ, 85006 |
| Phone | 6022395000 |
| Fax | 6022393339 |
| Enumeration date | 2006-05-18 |
| Last updated in NPPES | 2007-10-15 |
Authorized official
| Name | Dennis Dahlen |
|---|---|
| Title | Sr Vice President - Finance |
| Phone | 6024954000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 810871 | Medicaid | AZ | — |
Copy-ready billing details
Provider: Banner Good Samaritan Bariatric Program NPI: 1134172679 Taxonomy: 261Q00000X (Clinic/Center) Address: 1300 N 12TH ST, Phoenix, AZ, 85006
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831192590 | William Holland | Individual | Family Medicine Physician | Phoenix, AZ |
| 1518960996 | Andrzej Dmowski | Individual | Emergency Medicine Physician | Phoenix, AZ |
| 1740287002 | Tamara Galloway | Individual | Physical Therapist | Phoenix, AZ |
| 1215929971 | Douglas Schwartz | Individual | Specialist | Phoenix, AZ |
| 1700874310 | Joseph David | Individual | Gastroenterology Physician | Phoenix, AZ |
| 1235127846 | Brenda Dennert | Individual | Gastroenterology Physician | Phoenix, AZ |
| 1134117773 | Gastrointestinal Associates, PA | Organization | Gastroenterology Physician | Phoenix, AZ |
| 1215925821 | Barbara Maccollum | Individual | Gastroenterology Physician | Phoenix, AZ |
Verify this record
Cross-check NPI 1134172679 against the authoritative CMS record: view Banner Good Samaritan Bariatric Program on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Banner Good Samaritan Bariatric Program?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-10-15.