Individual provider Active NPI

Cynda L Tomlinson, M.D.

  • Family Medicine Physician
  • Hailey, ID
National Provider Identifier
1891703070
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-8148 Issued in ID
Practice address
507 S Main St
Hailey, ID 83333-8929
Phone
(208) 788-4122
Fax
(208) 788-6430
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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 M-8148 ID Primary

Addresses

Primary practice location

507 S Main St
Hailey, ID 83333-8929

Mailing address

740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone (208) 542-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20080619000546 ID Practitioner - Family Practice 9638119969 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24629ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Preventative Health CurrentSince Apr 26, 2017 Accepting new patients
Sterling Provider Group CurrentSince Jul 27, 2019 Accepting new patients
Sterling Provider Group CurrentSince Jul 27, 2019 Accepting new patients
Urgent Care Associates PLLC Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc Family Medicine Past Accepting new patients

Locations

6965 N Glenwood St
Boise, ID 83714
Phone (208) 853-3000

1129 S Broadway Ave
Boise, ID 83706
Phone (208) 795-9790

10965 W Overland Rd
Boise, ID 83709
Phone (208) 900-9901

1404 Pomerelle Ave
Ste A1
Burley, ID 83318
Phone (208) 878-8783

5605 Northside Xing
Chubbuck, ID 83202
Phone (208) 547-5062

1079 S Ancona Ave
Ste 100
Eagle, ID 83616
Phone (208) 853-2273

507 S Main St
Hailey, ID 83333
Phone (208) 788-0061

7017 Daisy Ln
Idaho Falls, ID 83402
Phone (208) 534-5878

740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111

2201 Thain Grade
Lewiston, ID 83501
Phone (208) 717-3100

1693 S Meridian Rd
#110
Meridian, ID 83642

3185 E Ustick Rd
Meridian, ID 83646
Phone (208) 296-7100

1610 Caldwell Blvd
Nampa, ID 83651
Phone (208) 207-8500

900 N Highway 41
Ste 2
Post Falls, ID 83854
Phone (208) 457-7100

130 W Main St
Rexburg, ID 83440
Phone (208) 356-8818

1201 S Main St
Ste 110
Logan, UT 84321
Phone (435) 565-6043

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1891703070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015285",
            "telephone_number": "208-542-9111",
            "fax_number": "541-322-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S MAIN ST",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338929",
            "telephone_number": "208-788-4122",
            "fax_number": "208-788-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLINSON",
        "first_name": "CYNDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-05-03",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-8148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hailey, ID

Sources for this page

Verify at the official NPI Registry.