Cynthia L Poortenga in Kingsport - Family Medicine
Cynthia L Poortenga - NPI 1811991631
Cynthia L Poortenga is a Family Medicine in Kingsport, Tennessee. Cynthia L Poortenga practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Cynthia L Poortenga is 1811991631. The last update date is 2008-02-27.
Cynthia L Poortenga's current location address is 121 E Ravine Rd, Kingsport, Tennessee. You can contact this provider via phone number 4232304800 and fax number 4232304808. The mailing address for Cynthia L Poortenga is 121 E Ravine Rd, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cynthia L Poortenga |
|---|---|
| Address | 121 E Ravine Rd, Kingsport, Tennessee |
| Phone Number | 4232304800 |
| Fax Number | 4232304808 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1811991631 |
|---|---|
| Provider Enumeration Date | 2005-06-09 |
| Last Updated Date | 2008-02-27 |
Provider Mailing Address Detail
| Address | 121 E Ravine Rd |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 3766038000 |
| Phone Number | 4232304800 |
| Fax Number | 4232304808 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD0000017131 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5645956 | VA | VA MEDICAID | |
| 3372564 | TN | -- | |
| 246269 | VA | ANTHEM BCBS VA | |
| 4054392 | TN | BCBS TN | |
| 830342546-01 | TN | JOHN DEERE HEALTH INS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Cynthia L Poortenga by the Centers for Medicare & Medicaid Services?
The Cynthia L Poortenga has been assigned the NPI (National Provider Identifier) 1811991631 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Cynthia L Poortenga is located?
The Cynthia L Poortenga is situated at the following address: 121 E Ravine Rd, Kingsport, TN, 3766038000.
What is Cynthia L Poortenga's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Cynthia L Poortenga's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Cynthia L Poortenga receive the assignment of its 1811991631 from the Centers for Medicare & Medicaid Services?
The Cynthia L Poortenga was issued its 1811991631 by the Centers for Medicare & Medicaid Services on 2005-06-09.
When was the information regarding Cynthia L Poortenga, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Cynthia L Poortenga, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-27.