Cynthia Poortenga, Md Pc in Kingsport - Primary Care
Cynthia Poortenga, Md Pc - NPI 1922171149
Cynthia Poortenga, Md Pc is a Primary Care in Kingsport, Tennessee. Cynthia Poortenga, Md Pc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Cynthia Poortenga, Md Pc is 1922171149. The last update date is 2008-04-20.
Cynthia Poortenga, Md Pc'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 Poortenga, Md Pc is 121 E Ravine Rd, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cynthia Poortenga, Md Pc |
|---|---|
| Address | 121 E Ravine Rd, Kingsport, Tennessee |
| Phone Number | 4232304800 |
| Fax Number | 4232304808 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Poortenga L Cynthia |
| Credentials | M.D. |
| Telephone Number | 4232304800 |
NPI Number Detail
| NPI Number | 1922171149 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 121 E Ravine Rd |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 376603816 |
| Phone Number | 4232304800 |
| Fax Number | 4232304808 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | MD0000017131 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3372564 | TN | -- | |
| 5645956 | VA | -- | |
| 246269 | VA | ANTHEM BCBS VA | |
| 4054392 | TN | BCBS TN |
Post Comment/ Review Below
What is the unique identifier code issued to Cynthia Poortenga, Md Pc by the Centers for Medicare & Medicaid Services?
The Cynthia Poortenga, Md Pc has been assigned the NPI (National Provider Identifier) 1922171149. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Cynthia Poortenga, Md Pc's facilities are situated?
The facilities of Cynthia Poortenga, Md Pc are physically located at the following address: 121 E Ravine Rd, Kingsport, TN, 376603816.
What is Cynthia Poortenga, Md Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Cynthia Poortenga, Md Pc is Primary Care, and the taxonomy code that categorizes this field of expertise is 261Qp2300X.
On what date did the Cynthia Poortenga, Md Pc receive the assignment of its 1922171149 from the Centers for Medicare & Medicaid Services?
The Cynthia Poortenga, Md Pc was issued its 1922171149 by the Centers for Medicare & Medicaid Services on 2006-11-16.
As of what date was the information pertaining to Cynthia Poortenga, Md Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Cynthia Poortenga, Md Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-20.
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