Active NPI
Cynthia Sue Harbaugh, MD
- Family Medicine Physician
- Daphne, AL
National Provider Identifier
1124003645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19789
- Practice address
- 6631 Park Dr
Daphne, AL 36526-5227 - Phone
- (251) 626-5700
- Fax
- (251) 626-5703
- NPI assigned
- Dec 7, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19789 | AL | Primary |
Addresses
Primary practice location
6631 Park Dr
Daphne, AL 36526-5227
Mailing address
2147 Riverchase Office Rd
Birmingham, AL 35244-1836
Phone (205) 403-8902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51031513 | Other | AL | BLUE CROSS & BLUE SHEILD |
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 |
|---|---|---|---|
| 19789 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Past | Accepting new patients | |
| American Family Care, LLC | Past | Accepting new patients | |
| Tri Hospital MRI Center | Past | Accepting new patients | |
| Great Falls Orthopaedic Associates | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1669429080
-
- Specialist
- Great Falls, MT
- NPI 1104865120
-
- Urgent Care Clinic/Center
- Pensacola, FL
- NPI 1770533077
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Port Huron, MI
- NPI 1063581353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1124003645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2147 RIVERCHASE OFFICE RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352441836",
"telephone_number": "205-403-8902",
"fax_number": "205-421-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6631 PARK DR",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365265227",
"telephone_number": "251-626-5700",
"fax_number": "251-626-5703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARBAUGH",
"first_name": "CYNTHIA",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "19789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHEILD",
"identifier": "51031513",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.