| Sgl Holdings Llc | |
|
3941 E Baseline Rd Ste 102 Gilbert AZ 85234-2750 | |
| (480) 969-3531 | |
| (866) 764-4599 |
| Full Name | Sgl Holdings Llc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 3941 E Baseline Rd Ste 102, Gilbert, Arizona |
| Authorized Official Name and Position | Salvatore Lacognata (MD) |
| Authorized Official Contact | 4806525928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sgl Holdings Llc 4850 E Baseline Rd Ste 118 Mesa AZ 85206-4626 Ph: (480) 652-5928 | Sgl Holdings Llc 3941 E Baseline Rd Ste 102 Gilbert AZ 85234-2750 Ph: (480) 969-3531 |
| NPI Number | 1184077596 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 05/11/2026 |
| Medicare PECOS PAC ID | 3779862040 |
|---|---|
| Medicare Enrollment ID | O20161110000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184077596 | NPI | - | NPPES |
| 628737 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
| Provider Name | Salvatore G Lacognata |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609901057 PECOS PAC ID: 5799678009 Enrollment ID: I20040202001072 |
| Provider Name | Gary T Purcell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215917463 PECOS PAC ID: 9032193594 Enrollment ID: I20091215000090 |
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