Provider Demographics
NPI:1134191570
Name:CAWLEY, CYNTHIA LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:LYNN
Last Name:CAWLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 E NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-359-4018
Mailing Address - Fax:412-359-3282
Practice Address - Street 1:320 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-4018
Practice Address - Fax:412-359-3282
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA002585L363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA277005OtherFEDERAL BLACK LUNG
PA970007627OtherMEDICARE RAILROAD
PA206615OtherUPMC HEALTH PLANS
PA970007627OtherUNITED HEALTHCARE
PA102035QJDMedicare PIN
PA970007627OtherMEDICARE RAILROAD
PA206615OtherUPMC HEALTH PLANS