| Cynthia Poortenga, Md Pc | |
|
121 E Ravine Rd Ste 900 Kingsport TN 37660-3816 | |
| (423) 230-4800 | |
| (423) 230-4808 |
| Full Name | Cynthia Poortenga, Md Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 121 E Ravine Rd, Kingsport, Tennessee |
| Authorized Official Name and Position | Cynthia L Poortenga (PRESIDENT) |
| Authorized Official Contact | 4232304800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia Poortenga, Md Pc 121 E Ravine Rd Ste 900 Kingsport TN 37660-3816 Ph: (423) 230-4800 | Cynthia Poortenga, Md Pc 121 E Ravine Rd Ste 900 Kingsport TN 37660-3816 Ph: (423) 230-4800 |
| NPI Number | 1922171149 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922171149 | NPI | - | NPPES |
| 3372564 | Medicaid | TN | |
| 5645956 | Medicaid | VA | |
| 246269 | Other | VA | ANTHEM BCBS VA |
| 4054392 | Other | TN | BCBS TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD0000017131 (Tennessee) | Primary |
Wps Providers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 | |
Sullivan And Ptrs Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2204 Pavilion Dr Ste 108, Kingsport, TN 37660 Phone: 423-392-6100 Fax: 423-392-0803 | |
Kingsport Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1526 Bridgewater Ln, Kingsport, TN 37660 Phone: 423-246-0033 Fax: 423-245-0034 | |
Tri-cities Gastroenterology Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10461 Wallace Alley St, Kingsport, TN 37663 Phone: 423-279-1400 | |
Kingsport Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 Fax: 423-224-4693 | |
Carl E Bendeck Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 Belmeade Dr, Kingsport, TN 37664 Phone: 423-578-3489 | |
A. Evan Lewis Phd Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1936 Brookside Dr Ste D, Kingsport, TN 37660 Phone: 423-392-5020 Fax: 423-392-5100 |