Active NPI
Cynthia Evans, M.D.
- Psychiatry Physician
- Clyde, OH
National Provider Identifier
1649290693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35-045532
- Practice address
- 422 E McPherson Hwy
Suite a
Clyde, OH 43410-1257 - Phone
- (419) 626-6161
- NPI assigned
- Jul 20, 2006
- Last updated
- Apr 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35-045532 | OH | Primary |
Addresses
Primary practice location
422 E McPherson Hwy
Suite a
Clyde, OH 43410-1257
Mailing address
PO Box 636741
Cincinnati, OH 45263-0001
Phone (419) 609-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0547019 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35-045532 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor | Psychiatry | Past | Accepting new patients |
| Northern Ohio Medical Specialists, LLC | Past | Accepting new patients |
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.
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1649290693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636741",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630001",
"telephone_number": "419-609-1112",
"fax_number": "419-609-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 E MCPHERSON HWY",
"address_2": "SUITE A",
"city": "CLYDE",
"state": "OH",
"postal_code": "434101257",
"telephone_number": "419-626-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "CYNTHIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35-045532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0547019",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clyde, OH
- D Ross Irons MD, Inc
- Discount Drug Mart Inc (Discount Drug Mart)
- Dreffer, Hicks, & Demos O.D. Inc. (Family Eye Care Centers)
- McKinsey Driscoll
- Ashlee Jo Durst, P.T.A.
- Alison Marie Faggionato, NP-C
- Lynsey Zoe Fairbanks, OT
- Corey Richard Fazio, DO
- Felicia M Fior Nossek, NP
- Brittany Nichole Fitzpatrick, MSN, APRN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.