Individual
DR. CYNTHIA L POORTENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
121 E RAVINE RD, STE 900, KINGSPORT, TN 37660-3800
(423) 230-4800
(423) 230-4808
Mailing address
121 E RAVINE RD, STE 900, KINGSPORT, TN 37660-3800
(423) 230-4800
(423) 230-4808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000017131
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246269
ANTHEM BCBS VA
VA
05
—
3372564
—
TN
01
—
4054392
BCBS TN
TN
01
—
5645956
VA MEDICAID
VA
01
—
830342546-01
JOHN DEERE HEALTH INS
TN
Enumeration date
06/09/2005
Last updated
02/27/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us