Cynthia Statler, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301060609 Issued in MI

Practice address

14734 Park Ave
Charlevoix, MI 49720-1927

Phone

(231) 547-6554

Fax

(231) 547-1179

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Pediatric Medicine

Education

Michigan State University College of Human Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Little Traverse Bay Bands of Odawa IndiansGroup PAC ID 8820995368, shared by 2 NPIs, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: cstatler810438@direct.ochin.org

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.

• BHG Lxxxiii, LLC

  • Multi-Specialty Clinic/Center
  • Lansing, MI
  • NPI 1518677525
  NPD (past)
• BHG Lxxxiii, LLC

  • Multi-Specialty Clinic/Center
  • Mt Pleasant, MI
  • NPI 1922712009
  NPD (past)
• North Country Community Mental Health

  • Community/Behavioral Health Agency
  • Petoskey, MI
  • NPI 1881060549
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1649291048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14734 PARK AVE",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201927",
            "telephone_number": "231-547-6554",
            "fax_number": "231-547-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14734 PARK AVE",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201927",
            "telephone_number": "231-547-6554",
            "fax_number": "231-547-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATLER",
        "first_name": "CYNTHIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301060609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4275056",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth H. Simpson, M.A.
• Tracy Skinner, LMSW
• Charity Lynn Slough
• Joel E Smith, PT
• Mark William Smith, MD
• Jeffrey K Steffey, RPH
• Tyler W Steffey, PHARMD
• Steven a Voci OD PC
• Emily K Stevens, LMSW
• Robert Stout

• Pediatrics Physician in Charlevoix, MI
• Providers in Charlevoix, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.