Provider Demographics
NPI:1881726289
Name:WHITEHURST, CYNTHIA S (AUD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:S
Last Name:WHITEHURST
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6954 MADISONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-3747
Mailing Address - Country:US
Mailing Address - Phone:513-271-7778
Mailing Address - Fax:513-271-7789
Practice Address - Street 1:6954 MADISONVILLE RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-3747
Practice Address - Country:US
Practice Address - Phone:513-271-7778
Practice Address - Fax:513-271-7789
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA00641237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
4597009OtherUNITED HEALTHCARE
5435521OtherAETNA
143496OtherNATIONWIDE
OH0865407Medicaid
000000020430OtherANTHEM
4597009OtherUNITED HEALTHCARE