Active NPI
Ginger K Urban, PAC
- Medical Physician Assistant
- Gilbert, AZ
National Provider Identifier
1043228075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2470
- Practice address
- 2483 S Market St
CMG Caretoday
Gilbert, AZ 85295-0722 - Phone
- (480) 857-8561
- Fax
- (480) 821-1328
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2470 | AZ | Primary |
Addresses
Primary practice location
2483 S Market St
CMG Caretoday
Gilbert, AZ 85295-0722
Mailing address
11001 N Black Canyon Hwy
Phoenix, AZ 85029-4757
Phone (602) 942-4462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115430 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2470 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241395200000",
"number": "1043228075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 N BLACK CANYON HWY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294757",
"telephone_number": "602-942-4462",
"fax_number": "602-371-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2483 S MARKET ST",
"address_2": "CMG CARETODAY",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852950722",
"telephone_number": "480-857-8561",
"fax_number": "480-821-1328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBAN",
"first_name": "GINGER",
"middle_name": "K",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2009-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "2470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115430",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.