Cigna Health Care of Arizona Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OTC 0650 Issued in AZ

Legal business name

CIGNA HEALTH CARE OF ARIZONA INC.

Doing business as

CMG Tempe Healthcare Center, Tempe

Practice address

433 W Broadway Rd
Tempe, AZ 85282-1308

Phone

(480) 968-7835

NPI assigned

Nov 9, 2006

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 identifiers 1

Other names 1

• CMG Tempe Healthcare Center, Tempe Doing business as

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1437220860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 N NORTERRA DR",
            "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": "433 W BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821308",
            "telephone_number": "480-968-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIGNA HEALTH CARE OF ARIZONA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-02-06",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "OTC 0650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061820",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMG Tempe Healthcare Center, Tempe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camryn Noel Ciaramella
• Arun R Cibrario, BS, RBT
• Kristina Ann Cieply, PA-C
• Aureliano E Cifuentes, MD
• Enrique M Cifuentes, Jr., MD
• Cigna Health Care of Arizona Inc. (EVERNORTH Care Group CJ Harris Multi-Specialty Center)
• David Richard Cilladi, PTA, ATC
• Melissa Cincotta
• Thomas Joesph Cipriano, DDS,MS
• Circle of Care LLC

• Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.