Cynthia Vail, PA-C, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

101668 Issued in NC

Legal business name

CYNTHIA VAIL, PA-C, PA

Practice address

1509 E Ash St
Goldsboro, NC 27530-5203

Phone

(919) 778-8551

Fax

(919) 734-1297

NPI assigned

Jun 6, 2018

Last updated

Feb 6, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cynthia S Vail, PA-CNPI 1447292941

Title

President

Phone

(207) 831-0617

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia S Vail, PA-C

  • Physician Assistant
  • Newton Grove, NC
  • NPI 1447292941
  NPD Authorized official
• Ellen Brubeck Brogden, M.D.

  • Family Medicine Physician
  • Mount Olive, NC
  • NPI 1184706830
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1043702889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 HOLLY BERRY LN",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275765514",
            "telephone_number": "207-831-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 E ASH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275305203",
            "telephone_number": "919-778-8551",
            "fax_number": "919-734-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA VAIL, PA-C, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "VAIL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-831-0617",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "101668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daniel & Max, LLC (Stanton Optical)
• Emily Lane Daniel, DDS
• Plummer Alston Daniel Jr., DDS

• Clinic/Center in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.