CONNECTICUT GENERAL LIFE INSURANCE COMPANY (NPI# 1396192290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396192290 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT GENERAL LIFE INSURANCE COMPANY |
| Other Organization Name | CIGNA ONSITE HEALTH, LLC; JACK ENTERTAINMENT |
| Practice Address |
1000 Broadway St Cincinnati OH 45202-1364 |
| Mailing Address |
25500 N Norterra Dr Phoenix AZ 85085-8200 |
| Practice Telephone | 5132503405 |
| Mailing Telephone | 8777331710 |
| Mailing Fax Number | 6232771091 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-24 |
| Authorized Official Name | STACEY POPKO (MEDICAL SENIOR DIRECTOR) |
| Authorized Official Telephone | 4127474128 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cigna Onsite Health, LLC; Jack Entertainment | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932552676 | Connecticut General Life Insurance Company | Clinic/Center | 7 Volvo Dr, Rockleigh, NJ 07647-2507 | 2016-07-18 |
| 1376929216 | Connecticut General Life Insurance Company | Clinic/Center | 116 S Zack Hinton Pkwy, Mcdonough, GA 30253-3353 | 2015-08-03 |
| 1053707208 | Connecticut General Life Insurance Company | Clinic/Center | 8620 Spectrum Center Blvd, San Diego, CA 92123-1406 | 2015-04-14 |
| 1982020061 | Connecticut General Life Insurance Company | Clinic/Center | 1 Riverboat Dr, North Kansas City, MO 64116-3267 | 2014-03-12 |
| 1336564673 | Connecticut General Life Insurance Company | Clinic/Center | 1200 Og Skinner Dr, West Point, GA 31833-1771 | 2014-02-24 |
| 1851716195 | Connecticut General Life Insurance Company | Clinic/Center | 1503 Orchard Hill Rd, Lagrange, GA 30240-5709 | 2014-02-24 |
| 1760920060 | Connecticut General Life Insurance Company | Clinic/Center | 530 Great Circle Rd, Nashville, TN 37228-1309 | 2017-02-07 |
| 1669922324 | Connecticut General Life Insurance Company | Clinic/Center | 25500 N Norterra Dr, Phoenix, AZ 85085-8200 | 2016-10-06 |
| 1255757332 | Connecticut General Life Insurance Company | Clinic/Center | 777 Casino Center Dr, Hammond, IN 46320-1003 | 2014-03-12 |
| 1619393790 | Connecticut General Life Insurance Company | Clinic/Center | 1000 Broadway St, Cincinnati, OH 45202-1364 | 2014-03-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | 900 Cottage Grove Road, Broomfield, CT 06002 |
| Virginia Business Entities | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | 900 Cottage Grove Rd, Bloomfield, Connecticut 06002 |
| Street Address |
1000 BROADWAY ST |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45202-1364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275776437 | Angie E Stanley | Nurse Practitioner | 1000 Broadway St, Cincinnati, OH 45202-1364 | 2009-04-16 |
| 1619393790 | Connecticut General Life Insurance Company | Clinic/Center | 1000 Broadway St, Cincinnati, OH 45202-1364 | 2014-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811558067 | Courtney Stepp | Social Worker | 907 Vine St, Cincinnati, OH 45202 | 2019-06-27 |
| 1447726427 | Mark Kirby | Optometrist | 2045 Gilbert Avenue, Cincinnati, OH 45202 | 2018-10-17 |
| 1497233100 | Michael Mcmanus | Specialist/Technologist, Other | 8118 Corporate Way Suite 212, Evokes LLC, Cincinnati, OH 45202 | 2018-08-03 |
| 1891293924 | Samuel Thomas Tedtman | Specialist/Technologist | Great American Ball Park, 100 Joe Nuxhall Way, Cincinnati, OH 45202 | 2018-01-23 |
| 1013431006 | Shannon Kiniyalocts | Social Worker | 2208 Reading Road, Cincinnati, OH 45202 | 2017-08-01 |
| 1760937353 | Joyce Ann Thieman | Social Worker | 504 Hiberty Hill, Cincinnati, OH 45202 | 2016-08-24 |
| 1659825156 | Alicia Carver | Counselor | 911 Sycamore St # 400, Cincinnati, OH 45202 | 2016-08-12 |
| 1861836546 | Jeffrey Herbert Finke | Pharmacist | 945 Parkside Place, Apt 5, Cincinnati, OH 45202 | 2013-04-24 |
| 1942597141 | Kristin Erin Pletcher | Physician Assistant | 644 Eden Park Drive, Cincinnati, OH 45202 | 2011-07-08 |
| 1144514654 | James A Kirby IIi | Pharmacist | 555 Race St, Cincinnati, OH 45202 | 2011-06-01 |
| Find all providers in zip 45202 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002816 | Choice Clinical Research, LLC | Clinic/Center | 140 W Kemper Rd Ste B, Cincinnati, OH 45246-2530 | 2020-10-29 |
| 1235747494 | Patient Priority Clinical Sites, LLC | Clinic/Center | 1207 Springfield Pike, Cincinnati, OH 45215-2123 | 2020-07-14 |
| 1578116034 | Ourhealth Physicians Group, LLC | Clinic/Center | 6355 Harrison Ave, Cincinnati, OH 45247-7818 | 2019-07-23 |
| 1598241507 | Hotel California By The Sea Cincinnati, LLC. | Clinic/Center | 4705 Lake Forest Drive, Cincinnati, OH 45242 | 2018-07-12 |
| 1548386865 | Over-the-rhine Medicenter, Ltd. | Clinic/Center | 308 Reading Rd, Fl 1b, Cincinnati, OH 45202-1369 | 2007-03-21 |
| 1861472433 | Ching Ho Md Inc | Clinic/Center | 4760 E Galbraith Rd Suite 208, Cincinnati, OH 45236-6703 | 2006-01-19 |
| 1437799830 | Equitas Health Inc | Clinic/Center | 2805 Gilbert Ave, Cincinnati, OH 45206-1210 | 2020-01-14 |
| 1225696461 | Ourhealth Physicians Group of Ohio, LLC | Clinic/Center | 11568 Springfield Pike, Cincinnati, OH 45246-3527 | 2019-06-03 |
| 1417421942 | West Clermont Chiropractic LLC | Clinic/Center | 1010 Ohio Pike Ste B, Cincinnati, OH 45245-2300 | 2019-01-17 |
| 1962920660 | Functional Interplay Therapy, LLC | Clinic/Center | 2145 Central Parkway, Suite 300, Cincinnati, OH 45214 | 2017-09-01 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45202 |
Please comment or provide details below to improve the information on CONNECTICUT GENERAL LIFE INSURANCE COMPANY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.