Provider Demographics
NPI:1811983901
Name:ROMINE, CYNTHIA P (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:P
Last Name:ROMINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1004
Mailing Address - Country:US
Mailing Address - Phone:336-832-7000
Mailing Address - Fax:336-333-9757
Practice Address - Street 1:719 GREEN VALLEY RD
Practice Address - Street 2:SUITE 101
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7014
Practice Address - Country:US
Practice Address - Phone:336-370-0277
Practice Address - Fax:336-333-9757
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30066174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC54817OtherBCBS
NC8954817Medicaid
NC160049225OtherMEDICARE RAILROAD
NC0700356OtherUNITED HEALTH CARE
NC2557OtherPARTNERS
NC95865OtherMEDCOST
NCC89190Medicare UPIN
NC8954817Medicaid