| Dr Cynthia Evette P Humphries, MD | |
|
2053 Loganberry Dr, Fayetteville, NC 28304-0804 | |
| (334) 596-1784 | |
| (910) 822-8519 |
| Full Name | Dr Cynthia Evette P Humphries |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2053 Loganberry Dr, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326095639 | NPI | - | NPPES |
| 5909471 | Medicaid | NC | |
| 808200700 | Medicaid | ID | |
| 000403532G | Medicaid | GA | |
| 2759242 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2007-00417 (North Carolina) | Primary |
| Entity Name | Oroville Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710372909 PECOS PAC ID: 1254234339 Enrollment ID: O20160512001150 |
| Entity Name | Cumberland Imaging Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437279262 PECOS PAC ID: 4284735051 Enrollment ID: O20200114000271 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cynthia Evette P Humphries, MD 6409 Fayetteville Rd, #120-107, Durham, NC 27713-6297 Ph: (334) 596-1784 | Dr Cynthia Evette P Humphries, MD 2053 Loganberry Dr, Fayetteville, NC 28304-0804 Ph: (334) 596-1784 |
Dr. Andrew Bostaph, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3027 Hampton Ridge Rd, Fayetteville, NC 28311 Phone: 303-933-8270 Fax: 972-437-3369 | |
Sheryl Gillikin Jordan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1301 Medical Dr, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
James E. Shearer, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3186 Village Dr 201, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
Gretchen Elizabeth Green, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3186 Village Dr Ste 201, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
Irene Vasko, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3186 Village Dr Ste 201, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
Leroy Roberts Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3186 Village Dr 201, Fayetteville, NC 28304 Phone: 910-486-5700 | |
Ali Nasim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3186 Village Dr 201, Fayetteville, NC 28304 Phone: 910-486-5700 |