Cynthia Brubaker, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA00083L Issued in PA

Practice address

734 N Franklin St
Lancaster, PA 17602-2176

Phone

(717) 295-2323

Fax

(717) 295-7294

NPI assigned

Jul 28, 2005

Last updated

Jun 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Lancaster Hma Physician Management, LLC

  • Family Medicine Physician
  • Lancaster, PA
  • NPI 1932272341
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1699775098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N FRANKLIN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022176",
            "telephone_number": "717-295-2323",
            "fax_number": "717-295-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 N FRANKLIN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022176",
            "telephone_number": "717-295-2323",
            "fax_number": "717-295-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "CYNTHIA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA00083L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDICARE GROUP NUMBER",
            "identifier": "158841",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Brown, LMT
• Timothy Dyllon Brown, BSN, MSN, CRNA
• Titina Finch Brown, PSYD
• Christy Ann Brubaker, PTA
• Coby C Brubaker, BA
• Derek Glenn Brubaker
• Derick S Brubaker, M.D.
• Devon Elizabeth Brubaker, ATC
• Glen Roy Brubaker, M.D.
• Jay Kenneth Brubaker, M.D.

• Physician Assistant in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.