Active NPI
Cynthia Sue Nocek, MD
- Geriatric Medicine (Internal Medicine) Physician
- Salem, OR
National Provider Identifier
1104807908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD17337
- Practice address
- 1233 Edgewater St NW
Salem, OR 97304-4049 - Phone
- (503) 378-7526
- Fax
- (503) 585-4278
- NPI assigned
- Nov 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD17337 | OR | Primary |
Addresses
Primary practice location
1233 Edgewater St NW
Salem, OR 97304-4049
Mailing address
1233 Edgewater St NW
Salem, OR 97304-4049
Phone (503) 378-7526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023015 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17337 | OR | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1104807908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 EDGEWATER ST NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973044049",
"telephone_number": "503-378-7526",
"fax_number": "503-585-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 EDGEWATER ST NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973044049",
"telephone_number": "503-378-7526",
"fax_number": "503-585-4278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOCEK",
"first_name": "CYNTHIA",
"middle_name": "SUE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "OR",
"license": "MD17337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023015",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.