DR. CYNTHIA L GLINES (NPI# 1770580953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770580953 |
Entity Type | Individual |
Full Name | DR. CYNTHIA L GLINES |
Credential | M.D. |
Practice Address |
5087 N Royal Dr Traverse City MI 49684-6987 |
Practice Telephone | 2319350440 |
Practice Fax Number | 2319350445 |
Mailing Telephone | 2319350440 |
Mailing Fax Number | 2319350445 |
Enumeration Date | 2005-07-05 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
4301048016 | MI | Allopathic & Osteopathic Physicians |
X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
4301048016 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS | 0B81008 | 01 |
MI | 3307852 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679730881 | Cynthia Glines | Counselor | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2008-05-16 |
Street Address |
5087 N ROYAL DR |
City | TRAVERSE CITY |
State | MI |
Zip Code | 49684-6987 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679575971 | Pulmonary and Critical Care of Northwest Michigan, P.C. | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2005-06-01 |
1013535046 | Munson Medical Center | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2020-07-07 |
1336567643 | Shiloh Tackett | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2014-04-03 |
1700906096 | Timothy Joseph Vollbrecht | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2007-03-30 |
1518964030 | Deborah Jo Ochs | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2005-06-30 |
1326045840 | Charles John Gwizdala | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2005-06-30 |
1932106531 | John Paul Krcmarik | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2005-06-29 |
1366448995 | Daniel Michael Navin | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2005-06-28 |
1588660112 | Joseph Gerard Will | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2005-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
Find all providers in zip 49684 |
Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679575971 | Pulmonary and Critical Care of Northwest Michigan, P.C. | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2005-06-01 |
1518964030 | Deborah Jo Ochs | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2005-06-30 |
1326045840 | Charles John Gwizdala | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2005-06-30 |
1932106531 | John Paul Krcmarik | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2005-06-29 |
1366448995 | Daniel Michael Navin | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2005-06-28 |
1588660112 | Joseph Gerard Will | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2005-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992266563 | Woodhaven Specialists PC | Internal Medicine | 18600 Van Horn Road, Woodhaven, MI 48183-3828 | 2019-03-27 |
1023539913 | Yasir M M Farah | Internal Medicine | 37595 7 Mile Rd # 340, Livonia, MI 48152-1003 | 2017-06-29 |
1184078792 | Jon Jen Pllc | Internal Medicine | 6704 Country Club Ln, West Bloomfield, MI 48322-3972 | 2016-04-20 |
1861797144 | Asadulla Mohammed Md PC | Internal Medicine | 27901 Woodward Ave Ste 220, Berkley, MI 48072-0918 | 2011-01-19 |
1346553476 | Raminderjit Sekhon | Internal Medicine | 18181 Oakwood Blvd Ste 208, Dearborn, MI 48124-5031 | 2010-07-19 |
1881912517 | Amaraja Kanitkar | Internal Medicine | 3175 W. Professinal Drive, Mclaren Bay Pulmonology, Bay City, MI 48706 | 2010-05-05 |
1467682443 | Mihai Iliesiu | Internal Medicine | 27483 Dequindre Rd Ste 210, Madison Heights, MI 48071-5711 | 2009-07-23 |
1578710232 | Albert Naveed | Internal Medicine | 3950 Hollywood Rd Ste 280, Saint Joseph, MI 49085-9151 | 2008-08-25 |
1669636718 | Anthony Iacco | Internal Medicine | 22987 W 13 Mile Rd, Beverly Hills, MI 48025-4447 | 2008-07-17 |
1750545828 | Mohd Shaffi Kanjwal | Internal Medicine | 1015 S Washington Ave Ste D, Saginaw, MI 48601-2556 | 2008-07-17 |
Find all providers with the same taxonomy |
City | TRAVERSE CITY |
Zip Code | 49684 |
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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.