Healthcare Provider Details

I. General information

NPI: 1578589412
Provider Name (Legal Business Name): CYNTHIA UPTMOR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA BLEICHROTH M.D.

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2136 WILLIAM ST STE 150
CAPE GIRARDEAU MO
63703-5831
US

IV. Provider business mailing address

195 ARROWHEAD LN
JACKSON MO
63755-4600
US

V. Phone/Fax

Practice location:
  • Phone: 573-339-4546
  • Fax:
Mailing address:
  • Phone: 866-916-5259
  • Fax: 231-922-4030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number109126
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: