Provider Demographics
NPI:1942203229
Name:DEHLINGER, CYNTHIA WOOD (CNM)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:WOOD
Last Name:DEHLINGER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 636256 CENTRAL CREDENTIALING
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0001
Mailing Address - Country:US
Mailing Address - Phone:513-585-5505
Mailing Address - Fax:513-585-5511
Practice Address - Street 1:3590 LUCILLE DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45213-2674
Practice Address - Country:US
Practice Address - Phone:513-475-7588
Practice Address - Fax:513-475-8598
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP3882363L00000X
OHNM3882367A00000X
OHCOA.06070-NM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH270577733073OtherCARESOURCE
OHCNM88202OtherHUMANA
OH40319125005OtherMEDICAL MUTUAL
OH0094937OtherMEDICAID
OH287936OtherAMERIGROUP
OH446984OtherWELLCARE
KYK096020OtherMEDICARE
OH9003216OtherAETNA
OHCNM88201OtherHUMANA
OH000000312223OtherANTHEM
OHH210741OtherMEDICARE
OH2264277Medicaid
OH779091/P10000730574OtherBUCKEYE MEDICAID/MEDICARE
OH782943OtherANTHEM
KYK096020OtherMEDICARE
OHP41124Medicare UPIN