JILL W. CUNNINGHAM


Address: 2301 S Broad St, Suite 205, Philadelphia, PA 19148-3542
Phone: 2155518660

JILL W. CUNNINGHAM (NPI# 1023021706) 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) 1023021706
Entity Type Individual
Full Name JILL W. CUNNINGHAM
Other Name JILL M. WALDRAFF
Credential PA
Practice Address 2301 S Broad St
Suite 205
Philadelphia
PA 19148-3542
Mailing Address 615 Chestnut St
14th Floor
Philadelphia
PA 19106-4404
Practice Telephone 2155518660
Practice Fax Number 2155519247
Mailing Telephone 2159559655
Mailing Fax Number 2159552420
Enumeration Date 2006-08-14
Last Update Date 2008-03-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant MA051575 PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers JILL CUNNINGHAM

NPI Name Taxonomy Address Enumeration
1982205076 Jill M Cunningham Pharmacist 322 Brownsville Loop, Lonoke, AR 72086-9348 2020-11-04
1487191441 Jill L Cunningham Nurse Practitioner 800 Lakeshore Dr, Birmingham, AL 35229-0001 2017-01-27
1578587515 Jill A Cunningham Nurse Practitioner 1729 Burrstone Rd, New Hartford, NY 13413-1001 2006-07-26

Office Location

Street Address 2301 S BROAD ST
SUITE 205
City PHILADELPHIA
State PA
Zip Code 19148-3542

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134124621 Deborah A Serba Nurse Anesthetist, Certified Registered 2301 S Broad St, Philadelphia, PA 19148-3542 2005-06-20
1215584859 Mary Ann Heller Nurse Practitioner 2301 S Broad St, Philadelphia, PA 19148-3542 2019-08-19
1093279499 Katelyn Alice Jesukiewicz Nurse Practitioner 2301 S Broad St, Philadelphia, PA 19148-3542 2019-01-30
1972088292 Lindsey Anne Wolf Registered Nurse 2301 S Broad St, Philadelphia, PA 19148-3542 2018-10-02
1346732005 Candace Cantwell-foy Registered Nurse 2301 S Broad St, Philadelphia, PA 19148-3542 2018-05-30
1386199982 Marisa A. Ciuppa Nurse Anesthetist, Certified Registered 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 2016-08-24
1871957324 Tejal Ulhas Naik Internal Medicine 2301 S Broad St, Philadelphia, PA 19148-3542 2016-04-11
1902267230 Methodist Associates In Healthcare, Inc. Psychiatry & Neurology 2301 S Broad St, Philadelphia, PA 19148-3542 2016-03-15
1669831996 Jeffex, Inc. Pharmacy 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 2016-02-15
1033575352 Methodist Associates In Healthcare, Inc. Family Medicine 2301 S Broad St, Philadelphia, PA 19148-3542 2016-01-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831759232 Be Well With Beth LLC Dietitian, Registered 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 2019-06-18
1942798186 Beth Auguste Dietitian, Registered 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 2018-04-24
1457866576 Wholehearted Homecare In Home Supportive Care 2555 S Jessup St, Philadelphia, PA 19148 2017-12-12
1326557331 Jannick Vicky Vielleuse Physical Therapist 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 2017-09-21
1225556137 Jamitia Camil Wilson-knight Counselor 2542 S Marshall, Phila, PA 19148 2017-08-31
1437676855 Elease Lee Pharmacist 2036 S 3rd Street, Philadelphia, PA 19148 2017-08-25
1598216483 Thy Vu Physician Assistant 2623 S Mildred St, Philadelphia, PA 19148 2016-10-17
1356723019 Meeta Chawla Dentist 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 2015-06-18
1013317882 Damian R Bereza Pharmacist 2017-2023 South Broad St, Philadelphia, PA 19148 2014-08-29
1396144390 Rite Aid Corporation Pharmacy 2017-2023 S Broad St, Philadelphia, PA 19148 2014-08-15
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780283986 Margaret Ann Malloy Physician Assistant 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 2020-10-20
1174122493 Juliana Debnam Physician Assistant 235 S 15th St Apt 904, Philadelphia, PA 19102-5031 2020-10-19
1457950867 Kyllington Spotts Physician Assistant 1151 N 3rd St Unit 301, Philadelphia, PA 19123-1578 2020-10-19
1598375925 Meredith Jeanne Behr Physician Assistant 5401 N Broad St, Philadelphia, PA 19141 2020-07-31
1457977944 Jiyean Yoo Physician Assistant 2929 Walnut St Apt 4424, Philadelphia, PA 19104-5096 2020-06-19
1356987747 Jennifer Rose Cueni Physician Assistant 2120 Brandywine St, Philadelphia, PA 19130-3107 2019-11-21
1730740408 Olivia Anne Leventry Physician Assistant 109 Fairmount Ave, Philadelphia, PA 19123-3004 2019-06-24
1588136055 Jefferson University Physcians Physician Assistant 1020 Sansom St Fl 10, Philadelphia, PA 19107-5002 2018-12-21
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922589365 Rachel Diane Simonsen Physician Assistant 1741 Frankford Ave Ste 100a, Philadelphia, PA 19125-2445 2018-08-23
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Competitor

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City PHILADELPHIA
Zip Code 19148

Improve Information

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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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