Active NPI
Cynthia Morin, P.A.
- Physician Assistant
- Garden City, MI
National Provider Identifier
1922219260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601001697
- Practice address
- 6255 Inkster Rd
Garden City, MI 48135-2577 - Phone
- (734) 522-8540
- Fax
- (734) 522-5405
- NPI assigned
- May 25, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601001697 | MI | Primary |
Addresses
Primary practice location
6255 Inkster Rd
Garden City, MI 48135-2577
Mailing address
6255 Inkster Rd
Garden City, MI 48135-2577
Phone (734) 522-8540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601001697 | Other | MI | STATE 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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601001697 | MI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922219260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 INKSTER RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352577",
"telephone_number": "734-522-8540",
"fax_number": "734-522-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6255 INKSTER RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352577",
"telephone_number": "734-522-8540",
"fax_number": "734-522-5405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIN",
"first_name": "CYNTHIA",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601001697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "5601001697",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garden City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.