Active NPI
Cynthia Marie Elizabeth Taber, MD
- Pain Medicine (Anesthesiology) Physician
- Granbury, TX
National Provider Identifier
1801828017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- K5711
- Practice address
- 9406 Bellechase Rd
Granbury, TX 76049-4430 - Phone
- (214) 244-2949
- NPI assigned
- Jul 7, 2006
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | K5711 | TX | Primary |
Addresses
Primary practice location
9406 Bellechase Rd
Granbury, TX 76049-4430
Mailing address
9406 Bellechase Rd
Granbury, TX 76049-4430
Phone (214) 244-2949
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801828017 | Medicaid | MO | |
| 200049234 | Medicaid | MO |
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 |
|---|---|---|---|
| K5711 | TX | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cole Physical Therapy Inc | Past | Accepting new patients | |
| Pain Management Consultants, PA | Past | Accepting new patients | |
| Allied Anesthesia Associates, LLP | Past | Accepting new patients | |
| Anesthesia Consultants of Fredericksburg | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1467750380
-
- Anesthesiology Physician
- Fredericksburg, TX
- NPI 1356318513
-
- Physical Therapy Clinic/Center
- Fredericksburg, TX
- NPI 1255342093
-
- Interventional Pain Medicine Physician
- Austin, TX
- NPI 1053526343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1801828017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9406 BELLECHASE RD",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760494430",
"telephone_number": "214-244-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9406 BELLECHASE RD",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760494430",
"telephone_number": "214-244-2949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABER",
"first_name": "CYNTHIA",
"middle_name": "MARIE ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "K5711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801828017",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200049234",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.