Cynthia Lorraine Pickens, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35064390 Issued in OH

Practice address

3033 Kettering Blvd
Suite 100
Moraine, OH 45439-1962

Phone

(937) 293-2133

Fax

(937) 293-2161

NPI assigned

Oct 3, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Medical Service Associates of Xenia Inc

  • Family Medicine Physician
  • Xenia, OH
  • NPI 1982600862
  NPD (past)
• Samaritan Family Care Inc

  • Family Medicine Physician
  • Moraine, OH
  • NPI 1659503886
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1992792105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 KETTERING BLVD",
            "address_2": "SUITE 100",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391962",
            "telephone_number": "937-293-2133",
            "fax_number": "937-293-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 KETTERING BLVD",
            "address_2": "SUITE 100",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391962",
            "telephone_number": "937-293-2133",
            "fax_number": "937-293-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "CYNTHIA",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35064390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0930069",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Peters
• Kayleigh Pettit, BSW, LSW
• Tara Philander, B.S.W
• Alisha Phillips
• Donte Phillips
• Raquel Pinkard, CDCA
• Pinnacle Health Care Center, Inc.
• Kathryn M Pitchford, LISW
• Danielle Pitman
• Melissa Pitsinger

• Family Medicine Physician in Moraine, OH
• Providers in Moraine, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.