NPIMap

Organization Active NPI

Cigna Healthcare of Arizona

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1508096975
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OTC4709 Issued in AZ
Legal business name
CIGNA HEALTHCARE OF ARIZONA
Practice address
3535 W Southern Ave
Suite # 128
Phoenix, AZ 85041-4224
Phone
(602) 276-5563
Fax
(602) 276-5536
NPI assigned
Jul 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
James H. Burrell III, M.D.
Title
Chief Medical Officer
Phone
(602) 271-5426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OTC4709 AZ Primary

Addresses

Primary practice location

3535 W Southern Ave
Suite # 128
Phoenix, AZ 85041-4224

Mailing address

25500 N Norterra Dr
Phoenix, AZ 85085-8200
Phone (602) 328-8400

Other names 1

  • CIGNA CMG Care Today - Laveen Village, CMG Care Today Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1508096975",
    "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",
            "fax_number": "623-277-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W SOUTHERN AVE",
            "address_2": "SUITE # 128",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414224",
            "telephone_number": "602-276-5563",
            "fax_number": "602-276-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIGNA HEALTHCARE OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "602-271-5426",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "OTC4709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIGNA CMG Care Today - Laveen Village, CMG Care Today",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.