NPIMap

Individual provider Active NPI

Cynthia Elizabeth Teerlinck, M.D.

  • Family Medicine Physician
  • Canandaigua, NY
National Provider Identifier
1639197197
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
211838 Issued in NY
Practice address
351 North Street
Mary Clark Thompson Family Practice
Canandaigua, NY 14424-1442
Phone
(585) 975-5125
Fax
(585) 393-1663
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 211838 NY Primary

Addresses

Primary practice location

351 North Street
Mary Clark Thompson Family Practice
Canandaigua, NY 14424-1442

Mailing address

351 North Street
Mary Clark Thompson Family Practice
Canandaigua, NY 14424
Phone (585) 975-5125

Other identifiers 1

IdentifierTypeStateIssuer
01479616MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080611000733 NY Practitioner - Family Practice 3476624941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560

351 N St
Suite 100
Canandaigua, NY 14424-1297
Phone (585) 975-5125

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Frederick Ferris Thompson Hospital CurrentSince Jan 16, 2014 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jan 16, 2014 Accepting new patients
Jeffrey C. Long, MD Family Medicine PastSince Oct 1, 2000 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC Past Accepting new patients

Locations

350 Parrish St
Canandaigua, NY 14424
Phone (585) 396-6000

73 Buffalo St
Ste 100
Canandaigua, NY 14424

351 North St
Canandaigua, NY 14424
Phone (585) 975-5125

7325 Community Dr
Lima, NY 14485
Phone (585) 624-1960

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Interoperability endpoints

  • Direct secure messaging: cteerlinck83160@direct.urmc.rochester.edu

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
MM Ewing Continuing Care CenterCanandaigua, NY, CCN 335345 Skilled nursing facility Corporate Director Apr 26, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1639197197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 NORTH STREET",
            "address_2": "MARY CLARK THOMPSON FAMILY PRACTICE",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "14424",
            "telephone_number": "585-975-5125",
            "fax_number": "585-393-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NORTH STREET",
            "address_2": "MARY CLARK THOMPSON FAMILY PRACTICE",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241442",
            "telephone_number": "585-975-5125",
            "fax_number": "585-393-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEERLINCK",
        "first_name": "CYNTHIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "211838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01479616",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.