Individual provider Active NPI

Cynthia B Morrow, M.D.

  • General Practice Physician
  • Roanoke, VA
National Provider Identifier
1235358292
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101264069 Issued in VA
Practice address
1502 Williamson Rd NE FL 2
Roanoke, VA 24012-5100
Phone
(540) 204-9441
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101264069 VA Primary

Addresses

Primary practice location

1502 Williamson Rd NE FL 2
Roanoke, VA 24012-5100

Mailing address

1502 Williamson Rd NE FL 2
Roanoke, VA 24012-5100
Phone (540) 204-9441

Other practice location 1

421 Montgomery St
Civic Center - 9th Floor
Syracuse, NY 13202-2923
Phone (315) 435-3155

Other identifiers 1

IdentifierTypeStateIssuer
00217589MedicaidNY

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101264069VAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1235358292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 WILLIAMSON RD NE FL 2",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240125100",
            "telephone_number": "540-204-9441",
            "fax_number": "315-435-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 WILLIAMSON RD NE FL 2",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240125100",
            "telephone_number": "540-204-9441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Montgomery St",
            "address_2": "Civic Center - 9th Floor",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132022923",
            "country_code": "US",
            "telephone_number": "315-435-3155",
            "fax_number": "315-435-5720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORROW",
        "first_name": "CYNTHIA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101264069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00217589",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.