Cynthia Shawn Earl, PAC MMS

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

C02082 Issued in MD

Practice address

2300 Ramsey St
Fayetteville, NC 28301-3856

Phone

(910) 488-2120

Fax

(910) 822-7970

NPI assigned

Nov 17, 2006

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

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 and National Provider Directory roles.

• Lucy Webb Hayes National Training School for Deaconsses & Missonaries

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1659321180
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1881767580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6341 CARVER OAKS DR APT 1212",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283118974",
            "telephone_number": "202-213-9815",
            "fax_number": "910-822-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013856",
            "telephone_number": "910-488-2120",
            "fax_number": "910-822-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARL",
        "first_name": "CYNTHIA",
        "middle_name": "SHAWN",
        "name_prefix": "Ms.",
        "credential": "PAC  MMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C02082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vivian Dzokoto, PHD
• E. Gram Solutions, Inc
• Aryana Eades
• Ronald Byron Easley, MD
• Cameron Eason
• East End Village II LLC
• Ryan East, HAS
• Eastcare Homehealth & Transportation, Inc.

• Surgical Physician Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Surgical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.