Provider Demographics
NPI:1992784839
Name:WESTERMANN, CYNTHIA D (MD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:D
Last Name:WESTERMANN
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 1:2000 JOSEPH E SANKER BLVD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-1979
Mailing Address - Country:US
Mailing Address - Phone:513-841-7400
Mailing Address - Fax:513-841-7402
Practice Address - Street 1:2000 JOSEPH E SANKER BLVD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-1979
Practice Address - Country:US
Practice Address - Phone:513-841-7400
Practice Address - Fax:513-841-7402
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35059383207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100351810Medicaid
IN100351810AMedicaid
IN100351810DMedicaid
IN100351810FMedicaid
OH0778538Medicaid
KY64866015Medicaid
IN100351810EMedicaid
OH0000000189741OtherBLUE CROSS BLUE SHIELD
IN100351810CMedicaid
220030654OtherRAILROAD MEDICARE
IN100351810CMedicaid
OHWE0691424Medicare PIN
IN100351810AMedicaid
IN100351810Medicaid
KY64866015Medicaid
OHH142450Medicare PIN