NPIMap

Individual provider Active NPI

Cynthia Maloy, M.D.

  • Family Medicine Physician
  • Owasso, OK
National Provider Identifier
1851356570
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17295 Issued in OK
Practice address
12455 E 100TH St N
Suite 120
Owasso, OK 74055-4674
Phone
(918) 274-5510
Fax
(918) 274-5519
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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 17295 OK Primary

Addresses

Primary practice location

12455 E 100TH St N
Suite 120
Owasso, OK 74055-4674

Mailing address

12455E 100TH N St 350
Owasso, OK 74055-4675
Phone (918) 274-5510

Other identifiers 1

IdentifierTypeStateIssuer
100094220AMedicaidOK

Other names 1

  • Cynthia Reeves Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118001173 OK Practitioner - Family Practice 5294735114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Omni Medical Group IncGroup PAC ID 9739080490, 82 clinicians

Practice addresses (Care Compare)

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2967

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Tulsa, OK, CCN 377787
  • Ascension at Home - Tulsa Home health agency, Tulsa, OK, CCN 377073
  • Angels Care Home Health of East Oklahoma Home health agency, Broken Arrow, OK, CCN 377171
  • Enhabit Home Health of Northeast Oklahoma Home health agency, Broken Arrow, OK, CCN 377572
  • Amedisys Home Health Home health agency, Bartlesville, OK, CCN 377180
  • St John Owasso Hospital, Owasso, OK, CCN 370227
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Ascension St John Broken Arrow Hospital, Broken Arrow, OK, CCN 370235
  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17295OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Medical Group Inc Family Medicine CurrentSince Oct 1, 1994 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

12455 E 100th St N
Ste 120
Owasso, OK 74055
Phone (918) 274-5510

13600 E 86th St N
Ste 100
Owasso, OK 74055
Phone (918) 272-9313

12455 E 100th St N
Ste 350
Owasso, OK 74055
Phone (918) 274-5510

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

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 and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1851356570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12455E 100TH N ST 350",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554675",
            "telephone_number": "918-274-5510",
            "fax_number": "918-403-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 E 100TH ST N",
            "address_2": "SUITE 120",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554674",
            "telephone_number": "918-274-5510",
            "fax_number": "918-274-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOY",
        "first_name": "CYNTHIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "17295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100094220A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "REEVES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.