Organization Active NPI

Cynthia L Preston MD PA

  • Internal Medicine Physician
  • Gainesville, FL
National Provider Identifier
1447579636
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME63279 Issued in FL
Legal business name
CYNTHIA L PRESTON MD PA
Practice address
3720 NW 83Rd St
Gainesville, FL 32606-5603
Phone
(352) 336-3050
Fax
(352) 337-2571
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Cynthia L Preston, MDNPI 1104929348
Title
Owner
Phone
(352) 665-1228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME63279 FL Primary

Addresses

Primary practice location

3720 NW 83Rd St
Gainesville, FL 32606-5603

Mailing address

2835 NW 23Rd Dr
Gainesville, FL 32605-2873
Phone (352) 665-1228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100819000510 FL Part B Supplier - Clinic/Group Practice 7416081906 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesviille, FL

National Provider Directory

National Provider Directory

Locations

3720 NW 83rd St
Gainesville, FL 32606
Phone (352) 331-9583

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1447579636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 NW 23RD DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326052873",
            "telephone_number": "352-665-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 NW 83RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065603",
            "telephone_number": "352-336-3050",
            "fax_number": "352-337-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA L PRESTON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-665-1228",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME63279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.