Cynthia K Flynn, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME142175 Issued in FL

Practice address

1630 Mason Ave Ste C
Daytona Beach, FL 32117-4503

Phone

(386) 238-9064

Fax

(386) 238-9063

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Excellence Health, LLC

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1447741749
  Medicare reassignment NPD
• Mills Medical Practices, LLC

  • Primary Care Clinic/Center
  • Beachwood, OH
  • NPI 1477701969
  Medicare reassignment NPD
• Mills Medical Practices, LLC

  • Primary Care Clinic/Center
  • Abingdon, VA
  • NPI 1841920287
  NPD
• Memorial Hospital

  • General Acute Care Hospital
  • Fremont, OH
  • NPI 1851338149
  NPD (past)
• Memorial Professional Services LTD

  • Pulmonary Disease Physician
  • Fremont, OH
  • NPI 1205139623
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1962595033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MASON AVE STE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174503",
            "telephone_number": "386-238-9064",
            "fax_number": "386-238-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MASON AVE STE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174503",
            "telephone_number": "386-238-9064",
            "fax_number": "386-238-9063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30575 Bainbridge Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Solon",
            "state": "OH",
            "postal_code": "441392275",
            "country_code": "US",
            "telephone_number": "440-368-6868",
            "fax_number": "440-368-6866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "CYNTHIA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME142175",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-092361",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104574000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2905388",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Woman Care, LLC
• Kymesha Flournoy
• Tony Flournoy Jr., CNA
• Kevin Treant Floyd Jr.
• Alexis Flynn-Hanlon, MD
• Kimberly Patricia Foley, PSYD
• Maya Follings
• Nubia Fonseca Ortiz, MD
• For Eyes Optical Co. of Coconut Grove
• For You I Will LLC

• Family Medicine Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.