Individual provider Active NPI

Cynthia Brewer Saacks, MD

  • Obstetrics & Gynecology Physician
  • Raleigh, NC
National Provider Identifier
1376545970
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9501401 Issued in NC
Practice address
3805 Computer Dr
Raleigh, NC 27609-6503
Phone
(919) 781-6200
Fax
(919) 783-1819
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9501401 NC Primary

Addresses

Primary practice location

3805 Computer Dr
Raleigh, NC 27609-6503

Mailing address

3805 Computer Dr
Raleigh, NC 27609-6503
Phone (919) 781-6200

Other identifiers 1

IdentifierTypeStateIssuer
8974267MedicaidNC

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

LicenseStateTypeSpecialty
9501401NCMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1376545970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 COMPUTER DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096503",
            "telephone_number": "919-781-6200",
            "fax_number": "919-783-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 COMPUTER DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096503",
            "telephone_number": "919-781-6200",
            "fax_number": "919-783-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAACKS",
        "first_name": "CYNTHIA",
        "middle_name": "BREWER",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9501401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8974267",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.