Basic Information
| Provider Information | |||||||||
| NPI: | 1942203229 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEHLINGER | ||||||||
| FirstName: | CYNTHIA | ||||||||
| MiddleName: | WOOD | ||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 636256 CENTRAL CREDENTIALING | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452630001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135855505 | ||||||||
| FaxNumber: | 5135855511 | ||||||||
| Practice Location | |||||||||
| Address1: | 3590 LUCILLE DR | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452132674 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5134757588 | ||||||||
| FaxNumber: | 5134758598 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2005 | ||||||||
| LastUpdateDate: | 11/17/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | NP3882 | OH | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 367A00000X | NM3882 | OH | N | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife | 367A00000X | COA.06070-NM | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
ID Information
| ID | Type | State | Issuer | Description | 270577733073 | 01 | OH | CARESOURCE | OTHER | CNM88202 | 01 | OH | HUMANA | OTHER | 40319125005 | 01 | OH | MEDICAL MUTUAL | OTHER | 0094937 | 01 | OH | MEDICAID | OTHER | 287936 | 01 | OH | AMERIGROUP | OTHER | 446984 | 01 | OH | WELLCARE | OTHER | K096020 | 01 | KY | MEDICARE | OTHER | 9003216 | 01 | OH | AETNA | OTHER | CNM88201 | 01 | OH | HUMANA | OTHER | 000000312223 | 01 | OH | ANTHEM | OTHER | H210741 | 01 | OH | MEDICARE | OTHER | 2264277 | 05 | OH | MEDICAID | 779091/P10000730574 | 01 | OH | BUCKEYE MEDICAID/MEDICARE | OTHER | 782943 | 01 | OH | ANTHEM | OTHER |