| NPI | 1114971363 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-05-20 |
| Last Updated | 2022-09-01 |
| Mailing Address | Po Box 80217 Phoenix, AZ 85060-0217 United States Phone: (602) 385-2115 | Fax: (480) 418-3323 📍 View Map |
| Primary Practice Address | 2940 E Banner Gateway Dr, Ste 200 Gilbert, AZ 85234-2168 United States Phone: (602) 648-5444 | Fax: (602) 772-3801 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | AZ | 115551 | - |
| Other (non-Medicare) | AZ | 3z3971 | HealthNet |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207XX0005X – Orthopaedic Surgery, Sports Medicine | AZ | 31186 |
| No | 207X00000X – Orthopaedic Surgery | AZ | 31186 |
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About NPI 1114971363
Cynthia L Kooima M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114971363. The primary specialty listed is Orthopaedic Surgery, Sports Medicine. The provider is located in Gilbert, AZ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114971363?
NPI 1114971363 belongs to Cynthia L Kooima M.D., a Orthopaedic Surgery, Sports Medicine in Gilbert, AZ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114971363 active?
The current status of NPI 1114971363 in the NPPES registry is Active. The record was last updated on 2022-09-01.
What specialty is NPI 1114971363?
NPI 1114971363 is classified under the taxonomy Orthopaedic Surgery, Sports Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114971363?
You can verify NPI 1114971363 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114971363?
The primary practice address on file for NPI 1114971363 is 2940 E Banner Gateway Dr, Gilbert, AZ 85234-2168. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114971363 issued?
NPI 1114971363 was first issued (enumerated) on 2006-05-20. The NPPES record was last updated on 2022-09-01.
Practice Location Map
Cynthia L Kooima is located at 2940 E Banner Gateway Dr, Gilbert, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Cynthia L Kooima. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1114971363. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine | 31186 | AZ |
| Orthopaedic Surgery | 31186 | AZ |