CYNTHIA P DOUGLAS (NPI# 1225392806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225392806 |
| Entity Type | Individual |
| Full Name | CYNTHIA P DOUGLAS |
| Credential | CFM |
| Practice Address |
1641 Mahan Center Blvd Suite 2 Tallahassee FL 32308-7404 |
| Practice Telephone | 8503869447 |
| Mailing Telephone | 8503869447 |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2014-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224900000X | Mastectomy Fitter | CFM02761 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956635 | Cynthia A Douglas | Homemaker | 23641 Middle Pike, Wapakoneta, OH 45895-8143 | 2020-09-13 |
| 1457849879 | Cynthia Godwin Douglas | Home Health | 356 Bayfront Ter, Sebastian, FL 32958-5508 | 2018-05-01 |
| 1265936546 | Cynthia Douglas | Physical Therapist | 1500 E Medical Center Dr # 1f249, Ann Arbor, MI 48109-5000 | 2018-03-21 |
| 1609089424 | Cynthia R Douglas | Nurse Practitioner | Washington St, 110 Mccomas Hall- Va Tech, Blacksburg, VA 24061-0001 | 2007-05-08 |
| 1760419873 | Cynthia Lynn Douglas | Pathology | 3701 S Higuera St, Ste 200, San Luis Obispo, CA 93401-7462 | 2006-06-26 |
| Street Address |
1641 MAHAN CENTER BLVD SUITE 2 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-7404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265867253 | Cynthia's Wig Boutique LLC | Durable Medical Equipment & Medical Supplies | 1641 Mahan Center Blvd, Suite 2, Tallahassee, FL 32308-7404 | 2013-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 224900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Mastectomy Fitter |
| An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353494 | Tarcha Rentz | Mastectomy Fitter | 6019 Nw 90th St, Gainesville, FL 32653-2990 | 2020-10-12 |
| 1457612681 | Brenda Parejas | Mastectomy Fitter | 3526 Dovetail Ln N, Lakeland, FL 33812-4123 | 2012-06-05 |
| 1669759171 | Terri Rohde | Mastectomy Fitter | 308 53rd Ave E, Bradenton, FL 34203-4706 | 2011-11-11 |
| 1104008895 | Chalena R Hetznecker | Mastectomy Fitter | 101 N Woodland Blvd, Suite A303, Deland, FL 32720-4245 | 2007-12-04 |
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on CYNTHIA P DOUGLAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.