Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922288844 Individual Practitioner Female Practitioner

Dr. Cynthia J Provow , MD

General Practice • Canton, NY

Professional Overview & Biography Verified Profile Summary

Dr. Cynthia Provow, MD is a registered healthcare professional specializing in General Practice in Canton, NY. Practice services are available at 80 STATE HIGHWAY 310 STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

80 State Highway 310 Ste 1

Canton, NY 136171436

Telephone 3153862189
Fax 3153862435
Associated Practice Facility / Clinic
🏢 St Lawrence County Facility NPI 1699898635

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Canton, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Canton, NY (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 259347

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Obstetrics & Gynecology

NUCC Taxonomy Code: 207V00000X

State License MA 234215

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Obstetrics & Gynecology

NUCC Taxonomy Code: 207V00000X

State License NY 259347

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Harvard
AA103237
Commercial Insurance / Payer ID Hne
42392

Secondary Practice Locations

22 Center St

Massena, NY 136621437

Phone: 3157640265

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Patricia Pielnik , MD

Psychiatry & Neurology - Psychiatry

NPI 1043304645

Doctor of Medicine (M.D.)

Mavis Bush

Counselor - Addiction (Substance Use Disorder)

NPI 1043400658
NPI 1053430488

RPAC

Ronee Cree , CERPA

Peer Specialist

NPI 1063063683
Ruthann Matthews , CASAC

Counselor - Addiction (Substance Use Disorder)

NPI 1073772133
Nereida Diaz

Counselor

NPI 1104947498

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Obstetrics & Gynecology (License #234215 in MA)

NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2017

Registered at 80 STATE HIGHWAY 310 STE 1, CANTON, NY 136171436 (Tel: 3153862189)

📍
Updated Business Mailing Address December 13, 2017

Registered at 80 STATE HIGHWAY 310, CANTON, NY 136171436 (Tel: 3153862189)

👤
Provider Name / Credentials Updated December 13, 2017

Recorded as CYNTHIA PROVOW, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Obstetrics & Gynecology (License #259347 in NY)

NPI Profile Active February 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2012

Registered at 22 CENTER ST, MASSENA, NY 136621437 (Tel: 3157640265)

📍
Updated Business Mailing Address February 09, 2012

Registered at 22 CENTER ST, PO BOX 111, MASSENA, NY 136621437 (Tel: 3157640265)

👤
Provider Name / Credentials Updated February 09, 2012

Recorded as CYNTHIA PROVOW, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2012

Obstetrics & Gynecology (License #234215 in MA)

🟢
Initial NPI Registration & Enumeration November 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922288844
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2007
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

80 State Highway 310

Canton, NY 136171436

Phone: 3153862189

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.