Individual provider Active NPI

Cynthia M Paige, N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • Birmingham, MI
National Provider Identifier
1689833162
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
4704178240 Issued in MI
Practice address
35046 Woodward Ave
Suite 100
Birmingham, MI 48009-0932
Phone
(248) 647-9860
Fax
(248) 647-9864
NPI assigned
Jun 9, 2008
Last updated
Jul 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 4704178240 MI Primary

Addresses

Primary practice location

35046 Woodward Ave
Suite 100
Birmingham, MI 48009-0932

Mailing address

35046 Woodward Ave
Suite 100
Birmingham, MI 48009-0932
Phone (248) 647-9860

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704178240MIMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1689833162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35046 WOODWARD AVE",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480090932",
            "telephone_number": "248-647-9860",
            "fax_number": "248-647-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35046 WOODWARD AVE",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480090932",
            "telephone_number": "248-647-9860",
            "fax_number": "248-647-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MI",
            "license": "4704178240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.