Active NPI
Cynthia L Stimeck, PA-C
- Medical Physician Assistant
- Pembroke Pines, FL
National Provider Identifier
1063473502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA002577L
- Practice address
- 20021 NW 3Rd St
Pembroke Pines, FL 33029-3312 - Phone
- (215) 906-7381
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA002577L | PA | Primary |
Addresses
Primary practice location
20021 NW 3Rd St
Pembroke Pines, FL 33029-3312
Mailing address
20021 NW 3Rd St
Pembroke Pines, FL 33029-3312
Phone (215) 906-7381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9107153 | Other | FL | PHYSICIAN ASSISTANT FLORIDA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA002577L | PA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410480000000",
"number": "1063473502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20021 NW 3RD ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330293312",
"telephone_number": "215-906-7381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20021 NW 3RD ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330293312",
"telephone_number": "215-906-7381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIMECK",
"first_name": "CYNTHIA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2014-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA002577L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT FLORIDA LICENSE",
"identifier": "PA9107153",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.