JORDAN CUNNINGHAM (NPI# 1083251243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083251243 |
| Entity Type | Individual |
| Full Name | JORDAN CUNNINGHAM |
| Credential | PA-C |
| Practice Address |
1181 Paddock Rd Smyrna DE 19977-9679 |
| Mailing Address |
2802 Sellers Ln Wilmington DE 19802-1823 |
| Practice Telephone | 2407158700 |
| Mailing Telephone | 2407158700 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C5-0001361 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 E 12th St, Wilmington, DE 198025315 | 2407158700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245896810 | Jordan Cunningham | Pharmacist | 16207 Detroit Ave, Lakewood, OH 44107-3784 | 2019-05-19 |
| 1457899577 | Jordan Cunningham | Nurse Practitioner | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2017-02-09 |
| Street Address |
1181 PADDOCK RD |
| City | SMYRNA |
| State | DE |
| Zip Code | 19977-9679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831353515 | Louise Desrosiers | General Practice | 1181 Paddock Rd, Smyrna, DE 19977-9679 | 2008-07-11 |
| 1497252266 | Flora Atangcho | Nurse Practitioner | 1181 Paddock Rd, Smyrna, DE 19977-9679 | 2018-04-09 |
| 1215481411 | Kathleen Gustafson | Nurse Practitioner | 1181 Paddock Rd, Smyrna, DE 19977-9679 | 2016-08-05 |
| 1336508027 | Paola Andrea Munoz | Psychologist | 1181 Paddock Rd, Jtvcc - Connections Community Support Programs, Smyrna, DE 19977-9679 | 2016-02-23 |
| 1407190309 | Edward Mack Hendricks | Nurse Practitioner | 1181 Paddock Rd, Smyrna, DE 19977-9679 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195857 | Nicola Dwyer | Licensed Practical Nurse | 121 Balamor Ct, Smyrna, DE 19977 | 2019-10-17 |
| 1487202982 | Steps 2 Wellness, LLC | Nurse Practitioner | 229 N Main Street, Smyrna, DE 19977 | 2019-08-28 |
| 1609423813 | Nu Beginning Center, LLC | Community/Behavioral Health | 229 North Main Street, Smyrna, DE 19977 | 2019-08-22 |
| 1467959593 | Cimi Behavior Analytic Solutions | Behavioral Analyst | 329 Garrisons Lake Blvd, Smyrna, DE 19977 | 2018-04-05 |
| 1548795859 | Connections Community Support Programs, Inc. | Clinic/Center | 350 N. High Street Extension, Smyrna, DE 19977 | 2017-04-24 |
| 1912352782 | Elizabeth Soleh Kerkula | Registered Nurse | 611 Providence Drive, Smyrna, DE 19977 | 2016-04-29 |
| 1780075218 | Life Force Caregivers, Inc. | Custodial Care Facility | 127 E. Glenwood Ave., Smyrna, DE 19977 | 2015-02-05 |
| 1164826707 | Naomi Ruth Thomas | Registered Nurse | 654 Brenford Station Road, Smyrna, DE 19977 | 2014-10-10 |
| 1104164524 | Christianacare Health Systems | Clinic/Center | 100 Sunnyside Rd 3rd Floor Prickett South, Smyrna, DE 19977 | 2013-01-18 |
| 1891056529 | Alex Bongon Siapno | Physical Therapist | 3034 S Dupont Blvd., Smyrna, DE 19977 | 2012-05-29 |
| Find all providers in zip 19977 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427442680 | Jeffrey Dinizio | Physician Assistant | 515 Stonecrest Pkwy Ste 100, Smyrna, TN 37167-6827 | 2015-03-26 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487989695 | Anthony P Ferrara | Physician Assistant | 3040 Highlands Pkwy Se, Ste E, Smyrna, GA 30082-5176 | 2009-10-05 |
| 1386737922 | Michael Allen | Physician Assistant | 3903 S Cobb Dr., Suite 200, Smyrna, GA 30080 | 2006-10-02 |
| 1962850446 | Brenda Terry | Physician Assistant | 4015 S Cobb Dr Se, Suite 115, Smyrna, GA 30080-6303 | 2016-05-25 |
| 1285048371 | Timothy Alan Hatt | Physician Assistant | 4441 Atlanta Rd Se Ste 216, Smyrna, GA 30080 | 2014-06-17 |
| 1508171125 | Justin Toppins | Physician Assistant | 739 President Pl, Suite 220, Smyrna, TN 37167-6844 | 2010-08-09 |
| 1245360247 | Richard Thomas Schick | Physician Assistant | 1314 Concord Rd Se, Smyrna, GA 30080-4361 | 2007-03-07 |
| 1295824324 | Alice F. Fazekas | Physician Assistant | 3903 S Cobb Dr Se, Suite 200, Smyrna, GA 30080-8504 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821658675 | Matthew Hisler Hrin | Physician Assistant | 5209 W Woodmill Dr Ste 35, Wilmington, DE 19808-4068 | 2019-06-14 |
| 1093167272 | Coty Kalbach | Physician Assistant | 722 Yorklyn Rd Ste 400, Hockessin, DE 19707-8740 | 2016-07-12 |
| 1457702177 | Jacinta Hollinger | Physician Assistant | C78-80 Omega Dr, Newark, DE 19713-2076 | 2016-06-23 |
| 1376909226 | Devon Courtney | Physician Assistant | 502 Lantana Dr, Hockessin, DE 19707-8813 | 2016-01-07 |
| 1568833010 | N. Barton & Associates Inc. | Physician Assistant | 3629 Old Capitol Trl, Wilmington, DE 19808-6025 | 2015-10-09 |
| 1851709877 | Bethany Anne Melo | Physician Assistant | 4755 Ogletown Stanton Rd Fl 3, Newark, DE 19718-2200 | 2014-07-23 |
| 1669758454 | Melanie J Marinelli | Physician Assistant | 400 Savannah Rd., #b, Lewes, DE 19958 | 2011-10-25 |
| 1811156300 | Carla Judith Papa | Physician Assistant | 411 Cheer Ct, Lums Pond Estates Lll, Bear, DE 19701-3366 | 2008-06-09 |
| 1679741987 | Amy L Strasser | Physician Assistant | 2700 Silverside Rd Ste 2, Wilmington, DE 19810-3724 | 2008-02-20 |
| 1669657623 | John Stewart Constance | Physician Assistant | Christiana Care Health System Dept of Medicine, 4755 Ogletown-stanton Rd., Newark, DE 19718-0001 | 2008-01-08 |
| Find all providers with the same taxonomy | ||||
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| 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.