CORDELL CUNNINGHAM (NPI# 1144684168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144684168 |
| Entity Type | Individual |
| Full Name | CORDELL CUNNINGHAM |
| Credential | M.D. |
| Practice Address |
500 W 4th St Odessa TX 79761-5001 |
| Mailing Address |
1034 Gibbs Xing Coppell TX 75019-6358 |
| Practice Telephone | 4326406000 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | S0863 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
500 W 4TH ST |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113808 | Bruce Carl Becker II | Family Medicine | 500 W 4th St, Odessa, TX 79761-5001 | 2005-06-09 |
| 1033724000 | Hannah Brooke Lineberry | Pharmacist | 500 W 4th St, Odessa, TX 79761-5059 | 2020-09-15 |
| 1376164673 | Kayal Kanni Dhevi Chandramohan | Dietitian, Registered | 500 W 4th St, Odessa, TX 79761-5001 | 2020-04-28 |
| 1669009643 | Phillip Cook | Pharmacist | 500 W 4th St, Odessa, TX 79761-5001 | 2020-03-27 |
| 1609406560 | Alan Robinson | Nurse Anesthetist, Certified Registered | 500 W 4th St, Odessa, TX 79761-5001 | 2020-01-20 |
| 1447899679 | Olivia Ortiz | Nurse Practitioner | 500 W 4th St, Odessa, TX 79761-5001 | 2020-01-06 |
| 1780227280 | Chasity Ann Young | Physician Assistant | 500 W 4th St, Odessa, TX 79761-5001 | 2019-10-28 |
| 1720639776 | Candy Bowen | Nurse Practitioner | 500 W 4th St, Odessa, TX 79761-5001 | 2019-09-21 |
| 1548826100 | Lakshmi Praveena Alahari | Student in an Organized Health Care Education/Training Program | 500 W 4th St, Odessa, TX 79761-5001 | 2019-05-18 |
| 1215498944 | Christi Michelle Tucker | Nurse Practitioner | 500 W 4th St, Odessa, TX 79761-5001 | 2019-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290106 | Odessa Emergency Center, LLC | Emergency Medicine | 2731 N Grandview Ave, Odessa, TX 79762-6952 | 2018-10-05 |
| 1770736191 | Fernando Salvador Gallegos Garcia | Emergency Medicine | 900 E 4th St, Odessa, TX 79761-5255 | 2008-10-29 |
| 1003075532 | Steven Wiese | Emergency Medicine | 4236 E Everglade Ave, Odessa, TX 79762-7136 | 2008-06-09 |
| 1063598506 | Pamela Joy Graber | Emergency Medicine | 8503 Northton Groves Blvd, Odessa, FL 33556-1402 | 2006-10-27 |
| 1952352510 | Henry Wakiku Ntende | Emergency Medicine | 8050 Highway 191, Suite 202, Odessa, TX 79765-8613 | 2006-05-16 |
| 1750349874 | Ram Chandra | Emergency Medicine | 408 N 4th St Ste B, Odessa, MO 64076-1646 | 2006-05-01 |
| 1386606721 | Alfonso Ivan Gonzalez | Emergency Medicine | 501 Bernice Ave, Odessa, TX 79763-4226 | 2006-04-03 |
| 1851387377 | Dennis Robins Solomon | Emergency Medicine | 1330 Lake Polo Dr, Odessa, FL 33556-1700 | 2005-09-20 |
| 1932589652 | Odessa Physician Associates, Pllc | Emergency Medicine | 900 E 4th St, Odessa, TX 79761-5255 | 2015-06-08 |
| 1114330941 | Royce Mathew Joseph | Emergency Medicine | 701 W 5th St Ste 3174, Odessa, TX 79763-4206 | 2014-06-10 |
| Find all providers in ODESSA | ||||
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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.