Provider Demographics
NPI:1013953405
Name:OWEN, CYNTHIA MAE (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:MAE
Last Name:OWEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:MAE
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-1700
Mailing Address - Fax:717-851-1710
Practice Address - Street 1:3065 WINDSOR RD
Practice Address - Street 2:
Practice Address - City:RED LION
Practice Address - State:PA
Practice Address - Zip Code:17356-8533
Practice Address - Country:US
Practice Address - Phone:717-851-1700
Practice Address - Fax:717-851-1710
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049565L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1142372OtherAMERIHEALTH MERCY-WMG
PA242133OtherMAMSI-WMG
PA5166395OtherAETNA
PA35619OtherGEISINGER
PAP002867OtherGATEWAY-WMG
PA0678389000OtherAMERIHEALTH 65 PA
PA1078901OtherCAPITAL BLUE CROSS-WMG
PA445279OtherHIGHMARK BLUE SHIELD
PA32645OtherJOHNS HOPKINS
PA001442750Medicaid
MD544686OtherCAREFIRST MD BCBS
PA80751OtherUNISON-WMG
MD544686OtherCAREFIRST MD BCBS
PAP002867OtherGATEWAY-WMG
PA35619OtherGEISINGER