MEDICARE: CYNTHIA K. TAYLOR D.O., INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	34004357	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609963628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYNTHIA K. TAYLOR D.O., INC

Provider Business Mailing Address
First Line	:	PO BOX 660
Second Line	:
City	:	MENTOR
State	:	OH
Zip	:	44061-0660
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7007 W PLEASANT VALLEY RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-6746
Country	:	US
Telephone Number	:	440-845-5060
Fax Number	:	440-845-5054

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CYNTHIA K TAYLOR
Credential	:	D.O.
Telephone Number	:	440-845-5060

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	01/07/2025

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