Active NPI
Cynthia Ann Rutherford, D.O.
- Psychiatry Physician
- Dyess Afb, TX
National Provider Identifier
1891900171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 235806
- Practice address
- 7TH Medical Group
697 Louisian Rd
Dyess Afb, TX 79607 - Phone
- (325) 696-5380
- NPI assigned
- May 11, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 235806 | NY | Primary |
Addresses
Primary practice location
7TH Medical Group
697 Louisian Rd
Dyess Afb, TX 79607
Mailing address
49TH Medical Group/Sgow
280 First Street BLDG 23
Holloman Afb, NM 88330-8273
Phone (575) 572-5676
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235806 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1891900171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49TH MEDICAL GROUP/SGOW",
"address_2": "280 FIRST STREET BLDG 23",
"city": "HOLLOMAN AFB",
"state": "NM",
"postal_code": "883308273",
"telephone_number": "575-572-5676",
"fax_number": "575-572-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7TH MEDICAL GROUP",
"address_2": "697 LOUISIAN RD",
"city": "DYESS AFB",
"state": "TX",
"postal_code": "79607",
"telephone_number": "325-696-5380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTHERFORD",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2023-04-26",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "235806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dyess Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.