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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 IDStateProvider typePAC IDDetails
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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000037831TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Healthcare of Arizona, Inc. Current
since Oct 27, 2009
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
since Oct 27, 2009
Accepting new patients
Nextcare Arizona LLC Current
since Jun 9, 2010
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 27, 2012.

{
    "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

All providers in Mesa, AZ · Family Medicine Physician in Arizona

Sources for this page

Verify at the official NPI Registry.