Individual provider Active NPI

Cynthia A Floore, MD

  • Family Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1235126632
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35825020 Issued in WI
Practice address
2555 N Martin Luther King Dr
Milwaukee Health Services, Inc.
Milwaukee, WI 53212-2709
Phone
(414) 372-8080
Fax
(414) 372-7420
NPI assigned
Sep 30, 2005
Last updated
Apr 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-092051 IL
Family Medicine Physician 207Q00000X 35825020 WI Primary
Family Medicine Physician 207Q00000X 4301082097 MI

Addresses

Primary practice location

2555 N Martin Luther King Dr
Milwaukee Health Services, Inc.
Milwaukee, WI 53212-2709

Mailing address

25245 W Saint Olaf Ave
Ingleside, IL 60041-9523
Phone (847) 546-9062

Other identifiers 2

IdentifierTypeStateIssuer
N41200004MedicaidMI
08055000111OtherMIBC/BS MI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000349 IL Practitioner - Family Practice 1052321163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waukegan Clinic CorpGroup PAC ID 4284631086, 60 clinicians

Practice addresses (Care Compare)

1025 Red Oak LN
Suite 120
Lindenhurst, IL 60046-5017
Phone (847) 366-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-092051ILMDFamily Medicine Physician
35825020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Jun 17, 2025 Accepting new patients
Waukegan Clinic Corp Family Medicine CurrentSince Jun 17, 2025 Accepting new patients

Locations

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

1025 Red Oak Ln
Ste 120
Lindenhurst, IL 60046
Phone (847) 245-4601

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1235126632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25245 W SAINT OLAF AVE",
            "city": "INGLESIDE",
            "state": "IL",
            "postal_code": "600419523",
            "telephone_number": "847-546-9062",
            "fax_number": "847-546-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 N MARTIN LUTHER KING DR",
            "address_2": "MILWAUKEE HEALTH SERVICES, INC.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122709",
            "telephone_number": "414-372-8080",
            "fax_number": "414-372-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOORE",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-092051",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "35825020",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301082097",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N41200004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS MI",
            "identifier": "08055000111",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.