Provider Demographics
NPI:1144219627
Name:TAYLOR, CYNTHIA K (DO)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:K
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 E TURKEYFOOT LAKE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-7203
Mailing Address - Country:US
Mailing Address - Phone:440-845-5060
Mailing Address - Fax:440-845-5054
Practice Address - Street 1:7007 W PLEASANT VALLEY RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-6746
Practice Address - Country:US
Practice Address - Phone:440-845-5060
Practice Address - Fax:440-845-5054
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-004357208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000137356OtherANTHEM BLUE SHIELD
OH000000137356OtherUNICARE
OH00778234Medicaid
OH000000137356OtherANTHEM BLUE SHIELD
OHE65464Medicare UPIN
OH0683173Medicare PIN
OH0683172Medicare PIN