Healthcare Provider Details

I. General information

NPI: 1487834792
Provider Name (Legal Business Name): MANUEL GIGENA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20201 N SCOTTSDALE HEALTHCARE DR STE 120
SCOTTSDALE AZ
85255-4135
US

IV. Provider business mailing address

20201 N SCOTTSDALE HEALTHCARE DR STE 120
SCOTTSDALE AZ
85255-4135
US

V. Phone/Fax

Practice location:
  • Phone: 480-805-3052
  • Fax: 480-805-2582
Mailing address:
  • Phone: 480-805-3052
  • Fax: 480-805-2582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number70065
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberMD181033
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberC199821
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number35.123545
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD27893
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: