Cigna Health Care of Arizona Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OTC 0630 Issued in AZ

Legal business name

CIGNA HEALTH CARE OF ARIZONA INC.

Doing business as

CMG Sun City Healthcare Center, Sun City

Practice address

13041 N del Webb Blvd
Sun City, AZ 85351-3034

Phone

(623) 977-7201

NPI assigned

Nov 13, 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 Sun City Healthcare Center, Sun City Doing business as

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1952472672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 N NORTERRA DR",
            "address_2": "ATTN: HCFS",
            "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": "13041 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513034",
            "telephone_number": "623-977-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIGNA HEALTH CARE OF ARIZONA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-01-28",
        "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 0630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061713",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMG Sun City Healthcare Center, Sun City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Thomas Childs, AGACNP-BC
• Jae Yeon Cho, DMD
• Parag H Chokshi, MD
• Parichita Choudhury, MD
• Keng-Yu Chuang, M.D.
• CL Eye Care, PLLC
• Clara P Fajardo DDS PC
• Brenda Clausen
• Ravinder Clayton, MD
• Clinic for Chest Diseases PLLC

• Clinic/Center in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.