Cigna Health Care of Arizona Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OTC 3167 Issued in AZ

Legal business name

CIGNA HEALTH CARE OF ARIZONA INC.

Doing business as

CMG Gilbert Health Care Center, Gilbert Center

Practice address

4001 E Baseline Rd
Ste 107
Gilbert, AZ 85234-2726

Phone

(480) 632-4060

NPI assigned

Nov 13, 2006

Last updated

Feb 6, 2014By the provider in NPPES

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 Gilbert Health Care Center, Gilbert Center Doing business as

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1942371505",
    "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": "4001 E BASELINE RD",
            "address_2": "STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342726",
            "telephone_number": "480-632-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIGNA HEALTH CARE OF ARIZONA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "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 3167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "726557",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMG Gilbert Health Care Center, Gilbert Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Cianfrogna, RBT
• Nicola Palmer Ciarelli, PMHNP
• Troy Ciavaglia, P.T.
• Tina M Ciezkowski, L.P.C.M.H
• Cigna Health Care of Arizona Inc. (CMG Care Today; CMG Care Today-Gilbert)
• Cigna Healthcare of Arizona, Inc. (Gilbert Out Patient Surgery)
• Cigna Healthcare of Arizona, Inc. (EVERNORTH Care Group Gilbert Health Center)
• Circle of Support
• Circles of Recovery LLC
• William Carmen Cirocco, MD

• Clinic/Center in Gilbert, AZ
• Providers in Gilbert, 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.