Individual provider Active NPI

Cynthia L Caja, DO

  • Family Medicine Physician
  • Bryan, OH
National Provider Identifier
1831112119
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34008751 Issued in OH
Practice address
500 W Mulberry St Ste 101
Bryan, OH 43506-1142
Phone
(419) 519-3336
Fax
(419) 212-9219
NPI assigned
Jul 26, 2006
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 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 34008751 OH Primary

Addresses

Primary practice location

500 W Mulberry St Ste 101
Bryan, OH 43506-1142

Mailing address

500 W Mulberry St Ste 101
Bryan, OH 43506-1142
Phone (419) 519-3336

Other identifiers 1

IdentifierTypeStateIssuer
2788372MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060914000415 OH Practitioner - Family Practice 6901883024 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34008751OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System, Inc. CurrentSince Sep 24, 2007 Accepting new patients
Lake Hospital System, Inc Family Medicine CurrentSince Sep 24, 2007 Accepting new patients
Lake Hospital System Inc Family Medicine Current Accepting new patients
Good Samaritan Community Healthcare Family Medicine Past Accepting new patients
Everside Health, LLC PastSince May 21, 2023 Accepting new patients

Locations

510 5th Ave
Chardon, OH 44024
Phone (440) 285-9494

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

Interoperability endpoints

  • Direct secure messaging: cynthia.caja.1@14940.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1831112119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MULBERRY ST STE 101",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061142",
            "telephone_number": "419-519-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MULBERRY ST STE 101",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061142",
            "telephone_number": "419-519-3336",
            "fax_number": "419-212-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAJA",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34008751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2788372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, OH

Sources for this page

Verify at the official NPI Registry.