Organization Active NPI

Cynthia Michel Knowles DO PA

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1083623276
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS 7539 Issued in FL
Legal business name
CYNTHIA MICHEL KNOWLES DO PA
Practice address
150 N University Dr
Suite 210
Plantation, FL 33324-2004
Phone
(954) 382-5208
Fax
(954) 382-5338
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Cynthia Michel Knowles, DONPI 1912991498
Title
President
Phone
(954) 382-5208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS 7539 FL Primary

Addresses

Primary practice location

150 N University Dr
Suite 210
Plantation, FL 33324-2004

Mailing address

150 N University Dr
Suite 210
Plantation, FL 33324-2004
Phone (954) 382-5208

Other identifiers 9

IdentifierTypeStateIssuer
0402112OtherUNITED HEALTH CARE
1885601012OtherCIGNA
232536OtherSTAYWELL
254754600MedicaidFL
279822OtherAVMED
44486OtherBLUECROSS AND BLUESHIELD
5537600OtherAETNA
116005OtherFLAMERIGROUP
39846OtherNHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060501000601 FL Part B Supplier - Clinic/Group Practice 8527078872 Receives reassigned benefits from 2 practitioners
Practice locations: Plantation, FL

National Provider Directory

National Provider Directory

Locations

150 N University Dr
Ste 210
Plantation, FL 33324
Phone (954) 382-5208

333 NW 70th Ave
Ste 201
Plantation, FL 33317
Phone (954) 382-5208

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1083623276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N UNIVERSITY DR",
            "address_2": "SUITE 210",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242004",
            "telephone_number": "954-382-5208",
            "fax_number": "954-382-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N UNIVERSITY DR",
            "address_2": "SUITE 210",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242004",
            "telephone_number": "954-382-5208",
            "fax_number": "954-382-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA MICHEL KNOWLES DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MICHEL KNOWLES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-382-5208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS 7539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0402112",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1885601012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "232536",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254754600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "279822",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS AND BLUESHIELD",
            "identifier": "44486",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5537600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "116005",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "39846",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.