Cigna Healthcare of Arizona, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSC 3662 Issued in AZ

Legal business name

CIGNA HEALTHCARE OF ARIZONA, INC.

Doing business as

Gilbert Out Patient Surgery

Practice address

4001 E Baseline Rd
Suite 102
Gilbert, AZ 85234-2726

Phone

(480) 632-4060

Fax

(480) 632-4092

NPI assigned

Aug 18, 2006

Last updated

Jan 28, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Ellis, D.O

Title

Chief Medical Director

Phone

(623) 277-2246

Specialties & licenses 1

Addresses

Other names 1

• Gilbert Out Patient Surgery Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1073627162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 N NORTERRA DR",
            "address_2": "ATTN: HCFS",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858200",
            "telephone_number": "602-328-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E BASELINE RD",
            "address_2": "SUITE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342726",
            "telephone_number": "480-632-4060",
            "fax_number": "480-632-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIGNA HEALTHCARE OF ARIZONA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "623-277-2246",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC 3662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilbert Out Patient Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicola Palmer Ciarelli, PMHNP
• Troy Ciavaglia, P.T.
• Tina M Ciezkowski, L.P.C.M.H
• Cigna Health Care of Arizona Inc. (CMG Care Today; CMG Care Today-Gilbert)
• Cigna Health Care of Arizona Inc. (CMG Gilbert Health Care Center, Gilbert Center)
• Cigna Healthcare of Arizona, Inc. (EVERNORTH Care Group Gilbert Health Center)
• Circle of Support
• Circles of Recovery LLC
• William Carmen Cirocco, MD
• Kathryn Cisek, RBT

• Ambulatory Surgical Clinic/Center in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.