CYNTHIA J. PROVOW MD – NPI #1922288844
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

CYNTHIA PROVOW is a physician located in CANTON, NY. NPPES has assigned the NPI number 1922288844 to CYNTHIA PROVOW on November 08, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CYNTHIA PROVOW below.

NPI Profile for
CYNTHIA J. PROVOW

NPI Number
1922288844
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CYNTHIA J. PROVOW
Credentials
MD
Primary location
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617-1436
Phone: (315) 386-2189 Fax: (315) 386-2435
1 Other location(s):
22 Center St
Massena, NY 13662-1437
Phone: (315) 764-0265
Fax: (315) 764-5941
Mailing address
80 STATE HIGHWAY 310
CANTON, NY 13617-1436
Phone: (315) 386-2189 Fax: (315) 386-2435
Sole Proprietor
No
Updated
Identifiers

Identifiers for CYNTHIA PROVOW

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERHARVARDAA103237
OTHERHNE42392
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
NY 259347
207V00000X
- Obstetrics & Gynecology
MA 234215

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.