STEPHANIE PRINCE CUNNINGHAM (NPI# 1255422259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255422259 |
| Entity Type | Individual |
| Full Name | STEPHANIE PRINCE CUNNINGHAM |
| Credential | D.O. |
| Practice Address |
2875 Jimmy Johnson Blvd Ste 100 Port Arthur TX 77640-2002 |
| Practice Telephone | 4097299222 |
| Practice Fax Number | 4097229425 |
| Mailing Telephone | 4097299222 |
| Mailing Fax Number | 4097229425 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2016-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | K1285 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 003853 | 05 | |
| TX | BLUELINK | 4133871 | 01 |
| TX | TPI | 092341901 | 01 |
| TX | CAQH | 10589293 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437439650 | Stephanie Qiana-monet Cunningham | Social Worker | 26114 Continental Cir, Taylor, MI 48180-3107 | 2011-08-18 |
| 1457494270 | Stephanie Marie Cunningham | Social Worker | 4871 Hickory Stream Ln, Mulberry, FL 33860-7917 | 2007-02-14 |
| 1700274024 | Stephanie Oakley Cunningham | Social Worker | 1601 Pacific Coast Hwy Ste 290, Hermosa Beach, CA 90254-3283 | 2015-01-08 |
| 1376942318 | Stephanie Cunningham | Nurse Practitioner | 1013 S Wells St, Edna, TX 77957-4045 | 2014-08-15 |
| 1326452350 | Stephanie Nicole Cunningham | Optometrist | 11289 Parkside Dr, Space 1108, Knoxville, TN 37934-1964 | 2014-06-18 |
| 1487997193 | Stephanie Diane Cunningham | Registered Nurse | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2013-04-01 |
| 1659623593 | Stephanie Marie Cunningham | Physician Assistant | 4081 Cascade Rd Se, Suite A, Grand Rapids, MI 49546-2170 | 2012-10-02 |
| 1982832226 | Stephanie L Cunningham | Emergency Medicine | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2009-06-25 |
| Street Address |
2875 JIMMY JOHNSON BLVD STE 100 |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77640-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134128119 | Gene E. Jones | Obstetrics & Gynecology | 2875 Jimmy Johnson Blvd Ste 100, Port Arthur, TX 77640-2002 | 2005-07-20 |
| 1417456500 | Courtney Beth Keeney | Nurse Practitioner | 2875 Jimmy Johnson Blvd Ste 100, Port Arthur, TX 77640-2002 | 2018-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275031676 | Grupo Segovia Sc | Specialist | 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 | 2018-01-31 |
| 1811495575 | Total Care Medical, Pllc | Clinic/Center | 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 | 2018-01-29 |
| 1750805586 | Bv Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 8595 Medical Center Blvd., Port Arthur, TX 77640 | 2017-08-02 |
| 1053840561 | Centro Medico De Cozumel Sa De Cv | General Acute Care Hospital | Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 | 2017-06-08 |
| 1306391719 | Hector Trevino | Dentist | 2780 Fm 365, Port Arthur, TX 77640 | 2016-08-16 |
| 1316325616 | Gulfside Dental Port Arthur Pllc | Dentist | 2780 Hwy 365, Suite C, Port Arthur, TX 77640 | 2015-05-07 |
| 1962894782 | Chris Hale | Specialist/Technologist, Other | 6361 Katy Av, Port Arthur, TX 77640 | 2015-03-03 |
| 1396157681 | Jack 1 Foundation Inc. | Day Training, Developmentally Disabled Services | 235 Procter St., Port Arthur, TX 77640 | 2014-05-21 |
| 1205275054 | Gulf Coast Health Center, Inc | Clinic/Center | 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 | 2013-06-14 |
| 1285909432 | Costamed | General Acute Care Hospital | Calle Primera Sur No. 101, Cozumel, QR 77640 | 2012-03-20 |
| Find all providers in zip 77640 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144551540 | Donald P. Long, M.d., P.a. | Obstetrics & Gynecology | 4640 9th Ave Ste 101, Port Arthur, TX 77642-5820 | 2010-01-25 |
| 1316102767 | Rojina Habib Jasani | Obstetrics & Gynecology | 8455 9th Ave Ste A, Port Arthur, TX 77642-8021 | 2008-07-25 |
| 1801058987 | Stephanie P. Cunningham Do Pa | Obstetrics & Gynecology | 2875 Jimmy Johnson Blvd # 100, Port Arthur, TX 77640-2002 | 2008-06-30 |
| 1831192038 | Charles Robert Moses | Obstetrics & Gynecology | 7980 Anchor Dr, Bldg #1100, Port Arthur, TX 77642 | 2005-05-23 |
| 1295284719 | Elite Womens Healthcare Pllc | Obstetrics & Gynecology | 4640 9th Ave, 101, Port Arthur, TX 77642-5819 | 2016-09-26 |
| 1215257399 | Charles R Moses Md Pa | Obstetrics & Gynecology | 7980 Anchor Dr, Ste #1100, Port Arthur, TX 77642-8266 | 2010-06-10 |
| 1295731487 | Donald Paul Long Sr. | Obstetrics & Gynecology | 4640 9th Ave, Ste 101, Port Arthur, TX 77642-5820 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677067 | Rodriguez Health, LLC | Obstetrics & Gynecology | 107 N Smith St Ste B, Pleasanton, TX 78064-4109 | 2020-10-17 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1891303673 | Serenity Women's Health Pllc | Obstetrics & Gynecology | 10907 Memorial Hermann Dr Ste 355, Pearland, TX 77584-4114 | 2020-07-17 |
| 1659994069 | Carolina A Andrade | Obstetrics & Gynecology | 945 S Mesa Hills Dr Apt 3515, El Paso, TX 79912-5157 | 2020-05-20 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1457972721 | Brynna Lynch | Obstetrics & Gynecology | 11212 State Highway 151 Ste 120, San Antonio, TX 78251-4498 | 2020-04-28 |
| 1952933913 | Gilbert G Sayegh Md, Pa | Obstetrics & Gynecology | 1004 Hobbs Hwy Ste 4, Seminole, TX 79360-3310 | 2020-02-07 |
| 1346880184 | Burke Womens Healthcare Pllc | Obstetrics & Gynecology | 4002 Burke Rd Ste 300, Pasadena, TX 77504-3451 | 2020-01-09 |
| 1386280337 | Women's Pavilion of Greater Houston | Obstetrics & Gynecology | 6051 Garth Rd Ste 700, Baytown, TX 77521-9807 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77640 |
Please comment or provide details below to improve the information on STEPHANIE PRINCE CUNNINGHAM.
| 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.