Individual provider Active NPI

Cynthia Eronmwon Noble, PA-C

  • Physician Assistant
  • Durant, OK
National Provider Identifier
1497117154
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5540 Issued in OK
Practice address
1727 Chuckwa Dr Ste 100
Durant, OK 74701-2151
Phone
(580) 931-8848
Fax
(580) 931-8877
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10371 TX
Physician Assistant 363A00000X 5540 OK Primary

Addresses

Primary practice location

1727 Chuckwa Dr Ste 100
Durant, OK 74701-2151

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190930002463 TX Practitioner - Physician Assistant 2769712058 Reassigns benefits to 1 organization
I20250401001116 OK Practitioner - Physician Assistant 2769712058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Durant Hma Physician Management LLCGroup PAC ID 3375638976, 23 clinicians

Practice addresses (Care Compare)

1400 Bryan Dr
Durant, OK 74701-2158

1727 Chuckwa Dr
Suite 100
Durant, OK 74701-2151
Phone (580) 920-8009

Hospital & facility affiliations

  • Alliancehealth Durant Hospital, Durant, OK, CCN 370014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5540OKMDSocial Worker
PA10371TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
John B. Meiser, MD, PA PastSince Feb 2, 2025 Accepting new patients
OB/GYN Associates of Durant Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1497117154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 CHUCKWA DR STE 100",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012151",
            "telephone_number": "580-931-8848",
            "fax_number": "580-931-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "CYNTHIA",
        "middle_name": "ERONMWON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10371",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.