Organization Active NPI

Cigna Health Care of Arizona, Inc.

  • Clinic/Center
  • Anthem, AZ
National Provider Identifier
1528200672
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
PENDING Issued in AZ
Legal business name
CIGNA HEALTH CARE OF ARIZONA, INC.
Doing business as
CIGNA-CMG Care Today-Anthem, CMG Care Today-Anthem
Practice address
39510 N Daisy Mountain Dr
Suite 166
Anthem, AZ 85086-6059
Phone
(623) 551-2311
Fax
(623) 551-4716
NPI assigned
Apr 2, 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 PENDING AZ Primary

Addresses

Primary practice location

39510 N Daisy Mountain Dr
Suite 166
Anthem, AZ 85086-6059

Mailing address

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

Other names 1

  • CIGNA-CMG Care Today-Anthem, CMG Care Today-Anthem 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": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1528200672",
    "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": "39510 N DAISY MOUNTAIN DR",
            "address_2": "SUITE 166",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866059",
            "telephone_number": "623-551-2311",
            "fax_number": "623-551-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIGNA HEALTH CARE OF ARIZONA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "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": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIGNA-CMG Care Today-Anthem, CMG Care Today-Anthem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anthem, 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.