DR. CYNTHIA EVETTE P HUMPHRIES


Address: 2053 Loganberry Dr, Fayetteville, NC 28304-0804
Phone: 3345961784

DR. CYNTHIA EVETTE P HUMPHRIES (NPI# 1326095639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326095639
Entity Type Individual
Full Name DR. CYNTHIA EVETTE P HUMPHRIES
Credential M.D.
Practice Address 2053 Loganberry Dr
Fayetteville
NC 28304-0804
Mailing Address 6409 Fayetteville Rd
#120-107
Durham
NC 27713-6297
Practice Telephone 3345961784
Practice Fax Number 9108228519
Mailing Telephone 3345961784
Mailing Fax Number 9108228519
Enumeration Date 2006-05-30
Last Update Date 2010-06-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
2007-00417 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 2759242 05
NC 5909471 05
GA 000403532G 05
ID 808200700 05

Office Location

Street Address 2053 LOGANBERRY DR
City FAYETTEVILLE
State NC
Zip Code 28304-0804

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700211653 Medical Associates of Northwest Arkansas Pa Radiology 3383 N Mana Ct Ste 102, Fayetteville, AR 72703-4965 2013-09-11
1831534346 Kevin Tyler Goelz Radiology 605 Wentworth Ct, Fayetteville, GA 30215 2013-05-10
1689859829 Santiago Miro Radiology 7302 Wakefield Dr, Fayetteville, NY 13066-9755 2008-01-07
1295858967 Garney H Fendley Radiology 3215 N. North Hills Blvd, Fayetteville, AR 72703-4424 2007-04-09
1558424986 Joseph Vincent Scrivani Radiology 5436 Springview Dr, Fayetteville, NY 13066-9678 2006-12-18
1538244751 Bernard Schneider Radiology 7064 Woodchuck Hill Rd, Fayetteville, NY 13066-9764 2006-10-26
1023190097 Andrew Bostaph Radiology 3027 Hampton Ridge Rd, Fayetteville, NC 28311-3005 2006-10-19
1134170160 Medical Associates of Northwest Arkansas Pa Radiology 55 W Sunbridge Dr, Fayetteville, AR 72703-1825 2006-05-15
1669430971 Carolina Imaging LLC of Fayetteville Radiology 3628 Cape Center Dr, Fayetteville, NC 28304-4406 2006-05-03
1114993292 Jennifer A. Knutsen Radiology 513 Briar Brook Run, Fayetteville, NY 13066-8751 2006-02-27
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Competitor

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City FAYETTEVILLE
Zip Code 28304

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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