CYNTHIA LEIGH BACA (NPI# 1841789260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841789260 |
| Entity Type | Individual |
| Full Name | CYNTHIA LEIGH BACA |
| Credential | MD |
| Practice Address |
1005 Joe Dimaggio Dr Hollywood FL 33021-5402 |
| Mailing Address |
911 Doveplum Ct Hollywood FL 33019-4873 |
| Practice Telephone | 5056109587 |
| Mailing Telephone | 5056109587 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588905806 | Cynthia Baca | Case Manager/Care Coordinator | 11059 E Bethany Dr, Ste 200, Aurora, CO 80014-2622 | 2013-03-12 |
| 1043443690 | Cynthia A Baca | Registered Nurse | 100 N Bellefield Ave, Suite 616, Pittsburgh, PA 15213-2600 | 2009-08-31 |
| Street Address |
1005 JOE DIMAGGIO DR |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891745154 | Daniel Carvallo | Anesthesiology | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | 2006-05-10 |
| 1376142968 | Lisa Farkas | Dietitian, Registered | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | 2020-10-23 |
| 1689271421 | Shelly Levin Pllc | Dentist | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | 2020-10-05 |
| 1710508072 | Kranthi Nomula | Student in an Organized Health Care Education/Training Program | 1005 Joe Dimaggio Dr, Hollywood, FL 33021 | 2020-04-28 |
| 1366071151 | Meagan Ann Mollergren | Student in an Organized Health Care Education/Training Program | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5487 | 2020-04-03 |
| 1629606876 | Kimberlee Persaud | Student in an Organized Health Care Education/Training Program | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5487 | 2020-03-31 |
| 1013544154 | Melissa Nicole Munroe | Student in an Organized Health Care Education/Training Program | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | 2020-03-26 |
| 1699302034 | Jessica Molokie | Student in an Organized Health Care Education/Training Program | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | 2020-03-25 |
| 1689201162 | Christine Lopez | Student in an Organized Health Care Education/Training Program | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | 2020-03-25 |
| 1902439607 | Sandra Gregorisch | Nurse Practitioner | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | 2020-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220248 | Myrlene Raquel Isme | Student in an Organized Health Care Education/Training Program | 2209 N 42nd Ave, Hollywood, FL 33021-3519 | 2020-09-22 |
| 1942814173 | Jennis Royero | Student in an Organized Health Care Education/Training Program | 1836 Arthur St Apt 6, Hollywood, FL 33020-3101 | 2020-09-04 |
| 1548898257 | Lasheika Williams | Student in an Organized Health Care Education/Training Program | 1001 N 71st Ave, Hollywood, FL 33024-5539 | 2020-03-29 |
| 1083252126 | Alexis Voke | Student in an Organized Health Care Education/Training Program | 1201 Buchanan St, Hollywood, FL 33019-1020 | 2019-12-19 |
| 1285277780 | Catherine Berdellans | Student in an Organized Health Care Education/Training Program | 3444 Pierce St, Hollywood, FL 33021-6153 | 2019-10-28 |
| 1902462989 | Sherryann Hanna Drakes | Student in an Organized Health Care Education/Training Program | 2326 Farragut St, Hollywood, FL 33020-1626 | 2019-05-14 |
| 1457915894 | Roman Mogilevsky | Student in an Organized Health Care Education/Training Program | 2247 Taylor St Apt 4, Hollywood, FL 33020-4458 | 2019-04-30 |
| 1497217764 | Rebecca Katz | Student in an Organized Health Care Education/Training Program | 3501 Keyser Ave Apt 42, Hollywood, FL 33021-2402 | 2019-04-04 |
| 1851853154 | Michal Wrotslavsky | Student in an Organized Health Care Education/Training Program | 4060 N Hills Dr Apt 39, Hollywood, FL 33021-2461 | 2019-04-04 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.