Cynthia McCormick Richburg, PH.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT006018 Issued in PA

Practice address

5015 E 29TH St N Entrance T
Wsu Speech Language Hearing Clinic
Wichita, KS 67220

Phone

(316) 978-3289

NPI assigned

Jan 31, 2019

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 names 1

• Cynthia Anne McCormick Former name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wichita State UniversityGroup PAC ID 5496064438, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Wichita State University

  • Speech-Language Pathologist
  • Wichita, KS
  • NPI 1295821858
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1972068252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 FAIRMONG ST. BOX 99",
            "address_2": "WSU SPEECH LANGUAGE HEARING CLINIC",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67260",
            "telephone_number": "316-978-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 E 29TH ST N ENTRANCE T",
            "address_2": "WSU SPEECH LANGUAGE HEARING CLINIC",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67220",
            "telephone_number": "316-978-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHBURG",
        "first_name": "CYNTHIA",
        "middle_name": "MCCORMICK",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "MCCORMICK",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kent A. Richardson, RPH
• Kristen Marie Richardson, RN
• Tim Alan Richardson, MD
• Richardson'S Right Choice Pharmacy
• Richardsons Pharmacy
• Nicklaus James Richmond, O.D.
• Rick a. Hoppe
• Tamara Rickaby
• Ashlynn Ricke
• Zachary Scott Rickett, DPT

• Audiologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Audiologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.