CYNTHIA POORTENGA, MD PC


Address: 121 E Ravine Rd, Ste 900, Kingsport, TN 37660-3816
Phone: 4232304800

CYNTHIA POORTENGA, MD PC (NPI# 1922171149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922171149
Entity Type Organization
Organization Name CYNTHIA POORTENGA, MD PC
Other Organization Name CYNTHIA POORTENGA, MD PC
Practice Address 121 E Ravine Rd
Ste 900
Kingsport
TN 37660-3816
Practice Telephone 4232304800
Practice Fax Number 4232304808
Mailing Telephone 4232304800
Mailing Fax Number 4232304808
Enumeration Date 2006-11-16
Last Update Date 2008-04-20
Authorized Official Name MRS. CYNTHIA L POORTENGA (PRESIDENT)
Authorized Official Telephone 4232304800
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
MD0000017131 TN Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TN 3372564 05
VA ANTHEM BCBS VA 246269 01
VA 5645956 05
TN BCBS TN 4054392 01

Other Provider/Organization Names

Other Name Type Code
Cynthia Poortenga, MD PC Doing Business As Name - Organization

Office Location

Street Address 121 E RAVINE RD
STE 900
City KINGSPORT
State TN
Zip Code 37660-3816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811991631 Cynthia L Poortenga Family Medicine 121 E Ravine Rd, Ste 900, Kingsport, TN 37660-3800 2005-06-09
1992257745 Excel Prosthetics & Orthotics, Inc Prosthetic/Orthotic Supplier 121 E Ravine Rd, Suite 400, Kingsport, TN 37660 2016-10-27
1235542085 Kimberly S Nash Emergency Medical Technician, Paramedic 121 E Ravine Rd, Suite 200, Kingsport, TN 37660-3816 2014-06-10
1942611009 Cephas Hiram Sloan IIi Pharmacist 121 E Ravine Rd, Ste. 100 (marcum's), Kingsport, TN 37660-3816 2014-05-12
1790122281 Mary Catherine Marcum Pharmacist 121 E Ravine Rd, Suite 100, Kingsport, TN 37660-3816 2013-05-24
1902243496 Colton N Marcum Pharmacist 121 E Ravine Rd, Suite 100, Kingsport, TN 37660-3816 2013-05-24
1639246101 David H Franzus M D Clinic/Center 121 E Ravine Rd, Suite 700, Kingsport, TN 37660-3816 2006-11-29
1245315522 Marcum's Pharmacy, Inc Pharmacy 121 E Ravine Rd, Kingsport, TN 37660-3816 2006-10-26
1023119047 Donita L Presnell Pharmacist 121 E Ravine Rd, Kingsport, TN 37660-3816 2006-09-25
1922108687 Donald H Stanfill Pharmacist 121 E Ravine Rd, Kingsport, TN 37660-3816 2006-09-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750909891 Nancy Gober Pharmacist Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 2020-07-06
1700437621 Tammy Denise Leblanc Technician 125 Lancer Rd, Kingsport, TN 37660 2019-09-23
1831743392 Independent Physical Therapy Occupational Therapist 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 2019-08-01
1871095315 Macie Anderson Nurse Practitioner 411 Clay St, Kingsport, TN 37660 2018-03-01
1053813527 Pulitzer Orthodontics, LLC Dentist 1200 Pulitzer Place, Kingsport, TN 37660 2018-03-01
1174038749 Sbh-kingsport Psychiatric Hospital 1025 Executive Park Blvd, Kingsport, TN 37660 2017-12-05
1548771447 Sara B Ball Registered Nurse 111 W Stone Dr Ste 240, Kingsport, TN 37660 2017-10-18
1821525361 Ashley Brook Weems Nurse Practitioner Six Sheridan Square Suite 100, Kingsport, TN 37660 2017-05-15
1639625643 Stephanie H Garris Nurse Practitioner 117 W Sevier Ave Ste 120, Kingsport, TN 37660 2016-08-30
1073965679 Teresa Anne Starke Physician Assistant 8 Sheridan Square, Suite 110, Kingsport, TN 37660 2016-07-07
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730668575 Kingsport Family Medical Care Pllc Clinic/Center 935 Wilcox Ct Ste 115, Kingsport, TN 37660-5170 2018-08-13
1801262795 Carehere LLC Clinic/Center 1324 Midland Dr, Kingsport, TN 37664-3044 2015-08-14
1891109609 Trinity Medical Services Clinic/Center 151 Wendover Dr, Kingsport, TN 37663-2655 2014-06-19
1912194028 Holston Regional Alternative Medicine Clinic/Center 1303 E Center St, Kingsport, TN 37664-2444 2007-10-02
1871954628 Friends In Need Health Center Clinic/Center 1105 W Stone Dr, Suite 2, Kingsport, TN 37660-2558 2016-03-08
1316228075 Clinchfield Family Medicine, Pllc Clinic/Center 2204 Pavilion Dr, Suite 110, Kingsport, TN 37660-4657 2011-09-07
1679741532 Holston Regional Comprehensive Medicine Clinic/Center 1303 E Center St, Kingsport, TN 37664-2444 2008-02-13
1023186145 Kingsport Primary Care, PC Clinic/Center 1526 Bridgewater Ln, Kingsport, TN 37660-4106 2006-11-30
1639246101 David H Franzus M D Clinic/Center 121 E Ravine Rd, Suite 700, Kingsport, TN 37660-3816 2006-11-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780281527 Braxton Medical Clinic, LLC Clinic/Center 1410 Kensington Square Ct Ste 103, Murfreesboro, TN 37130-6902 2020-10-05
1629689674 Saint Thomas Medical Partners Clinic/Center 220 West Jefferson Pike, Murfreesboro, TN 37129 2020-08-13
1700411592 Fentress Family Care LLC Clinic/Center 1010 Old Highway 127 S, Jamestown, TN 38556-5648 2020-03-11
1831724822 Guiding Star Memphis Clinic/Center 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 2020-03-10
1407486764 Elijahs Dream Compassionate Care Clinic/Center 134 Creekside Dr Ste 1, Ocoee, TN 37361-3653 2020-01-24
1518506542 Faith Medical Group, Pllc Clinic/Center 500 Mcfarland St Ste E, Morristown, TN 37814-3992 2019-12-20
1366080582 Matthew E. Schantz, M.d. Clinic/Center 206 S Military St Ste 1, Loretto, TN 38469-2101 2019-12-18
1114563749 Step One Medical Associates PC Clinic/Center 4502 Bristol Hwy, Johnson City, TN 37601-2936 2019-11-19
1023665403 Elite Healthcare, LLC Clinic/Center 117 N 3rd St, Kingston, TN 37763-2842 2019-08-21
1083266381 Get Into Shape Md Clinic/Center 5803 Lee Hwy Ste 101, Chattanooga, TN 37421-3547 2019-07-16
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Competitor

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City KINGSPORT
Zip Code 37660

Improve Information

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Dataset Information

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.

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