Connie L Catron, M.D.
Individual provider Active NPI Family Medicine Physician · Mesa, AZ
NPI 1255433231 · NPPES record last updated Dec 27, 2012
Key facts
- NPI
- 1255433231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 17896 (AZ)
- Practice address
- 6811 E Superstition Springs Blvd
Mesa, AZ 85209-4001 - Phone
- (480) 641-4000
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090211000679 | AZ | Practitioner - Family Practice | 5092623371 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000037831 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Current |
Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Current | Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Current |
Accepting new patients | |
| Nextcare Arizona LLC | Current |
Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Past | Accepting new patients |
Locations
2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172
1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565
5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600
1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500
5735 E McKellips Rd
Ste 101
Mesa, AZ 85215
Phone (480) 718-6444
6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000
21731 N 77th Ave
Ste 1300
Peoria, AZ 85382
Phone (623) 561-3300
2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500
7000 N 16th St
Ste 130
Phoenix, AZ 85020
Phone (602) 567-1901
7600 N 15th St
Ste 185
Phoenix, AZ 85020
Phone (602) 678-3131
1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000
8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260
8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400
13041 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 977-7201
13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800
1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000
914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620
433 W Broadway Rd
Tempe, AZ 85282
Phone (480) 968-7835
9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD0000037831 | TN | |
| Family Medicine Physician | 207Q00000X | 17896 | AZ | Yes |
Addresses
Primary practice location
6811 E Superstition Springs Blvd
Mesa, AZ 85209-4001
Mailing address
2124 Leisure World
Mesa, AZ 85206-5370
Phone (931) 248-3615
NPI Registry JSON
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1255433231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 LEISURE WORLD",
"city": "MESA",
"state": "AZ",
"postal_code": "852065370",
"telephone_number": "931-248-3615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6811 E SUPERSTITION SPRINGS BLVD",
"city": "MESA",
"state": "AZ",
"postal_code": "852094001",
"telephone_number": "480-641-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATRON",
"first_name": "CONNIE",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD0000037831",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "17896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Cat Got Your Tongue, Inc.
- Catalyst Community Corporation
- Martin Catero
- Emma Cathie
- Michelle Nicole Cator
- Margaret Cattey
- Tommy Joseph Cattey
- Leslie M Caudillo
- Myron Causey
- Jack R Cavalcant
All providers in Mesa, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.