Provider Demographics
NPI:1306916135
Name:HATFIELD, CYNTHIA BELLE (DPM)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:BELLE
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301
Mailing Address - Country:US
Mailing Address - Phone:724-222-8883
Mailing Address - Fax:724-222-3713
Practice Address - Street 1:40 WILSON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301
Practice Address - Country:US
Practice Address - Phone:724-222-8883
Practice Address - Fax:724-222-3713
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003103L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
000543745OtherBCBS
4843OtherHEALTH ASSURANCE
PA0011494500003Medicaid
UPMC100660OtherUPMC
000543745OtherBCBS
PAHA543745Medicare ID - Type Unspecified