DR. MICHAEL E. A. CUNNINGHAM


Address: 554 Keily Street, Bumed Centralized Credential and Privileging Directorat, Jacksonville, FL 32212
Phone: 7579537550

DR. MICHAEL E. A. CUNNINGHAM (NPI# 1417184946) 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) 1417184946
Entity Type Individual
Full Name DR. MICHAEL E. A. CUNNINGHAM
Credential M.D.
Practice Address 554 Keily Street
Bumed Centralized Credential and Privileging Directorat
Jacksonville
FL 32212
Practice Telephone 7579537550
Practice Fax Number 7579537560
Mailing Telephone 7579537550
Mailing Fax Number 7579537560
Enumeration Date 2009-06-11
Last Update Date 2020-07-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 0101247962 VA Allopathic & Osteopathic Physicians
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
0101247962 VA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
629 Cedar Creek Grade Ste B, Winchester, VA 226012786 5406783950 5406783954

Other Providers MICHAEL CUNNINGHAM

NPI Name Taxonomy Address Enumeration
1831469709 Michael Joseph Cunningham Speech-Language Pathologist 35 Hausman St, Brooklyn, NY 11222-4503 2012-01-09
1013062504 Michael Taylor Cunningham Dentist 365 S Linden Ave, Waynesboro, VA 22980-3503 2007-01-24
1205913316 Michael Cunningham Physical Therapist 1030 E County Line Rd Ste A2, Indianapolis, IN 46227-2933 2006-11-01
1821075516 Michael H Cunningham Sr. Ophthalmology 842 S Cowley St, Suite 1, 2, 3, Spokane, WA 99202-1234 2005-12-23
1659369577 Michael J Cunningham Family Medicine 1200 Prospect Street, Ste 103, Sandusky, OH 44870-4793 2005-10-13
1629620489 Michael Joseph Cunningham Counselor 2600 Cordova St Ste 101, Anchorage, AK 99503-2745 2019-07-11
1730661984 Michael Robert Cunningham Pharmacist 6000 W Highway 98, Pensacola, FL 32512-0001 2018-09-04
1821587742 Michael Cunningham Student in an Organized Health Care Education/Training Program 102 Mason Farm Rd, Chapel Hill, NC 27599-6134 2018-05-07
1366817728 Michael David Cunningham Counselor 8 Sun St, Salinas, CA 93901 2015-12-09
1558749606 Michael Cunningham Dermatology 281 Lincoln St, Worcester, MA 01605-2138 2015-05-09

Office Location

Street Address 554 KEILY STREET
BUMED CENTRALIZED CREDENTIAL AND PRIVILEGING DIRECTORAT
City JACKSONVILLE
State FL
Zip Code 32212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326019373 Brian G Norwood Pediatrics 554 Keily Street, Jacksonville, FL 32212 2006-01-29
1811461726 Yocelin Hernandez Rojero Occupational Therapist 554 Keily Street, Jacksonville Fl 32212, Jacksonville, FL 32212 2019-01-14
1609381235 Miranda Shilelagh Schmidt Physician Assistant 554 Keily Street, Jacksonville, FL 32212 2017-12-05
1144733627 Tylisha Elyse Deshields Social Worker 554 Keily Street, Jacksonville, FL 32212 2017-11-07
1326557976 David Michael Tatera Psychologist 554 Keily Street, Jacksonville, FL 32212 2017-09-27
1104335348 Kuang-hui Lee General Practice 554 Keily Street, Jacksonville, FL 32212 2017-09-20
1548788177 Sophia Renee Beal Speech-Language Pathologist 554 Keily Street, Jacksonville, FL 32212 2017-09-04
1164949418 George S Bennitt Dentist 554 Keily Street, Jacksonville, FL 32212-4047 2017-08-28
1124545389 David Phillips Student in an Organized Health Care Education/Training Program 554 Keily Street, Centralized Credential and Privileging Directorate, Jacksonville, FL 32212-2466 2017-08-28
1902323652 Erich Chen Student in an Organized Health Care Education/Training Program 554 Keily Street, Jacksonville, FL 32212 2017-08-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952911752 Jeff Woohyeok Chang Dentist 964 Ajax Street, Jacksonville, FL 32212 2020-08-06
1518484427 Amy Kathryn Lee Student in an Organized Health Care Education/Training Program Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 2017-08-23
1659827970 Noah Fixelle Dentist Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 2016-08-28
1972953339 Colin Kenneth Kelly General Practice Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 2016-06-16
1912382359 Caitlyn Brooke Hoysock Dentist 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 2015-07-28
1285017418 John Alexander Ruch Dentist 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 2015-07-07
1407238561 Amanda Mona Lau Student in an Organized Health Care Education/Training Program 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 2015-06-25
1063894715 Heather Dehaan Family Medicine 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 2015-06-18
1912389677 Catherine Garcia Student in an Organized Health Care Education/Training Program 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 2015-06-18
1255712675 James Robert Benson Dentist 734 Keily Street, Bumed, Jacksonville, FL 32212 2015-06-11
Find all providers in zip 32212

Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407226228 Baptist Specialty Physicians Inc Pediatrics 3563 Philips Hwy Ste 101a, Jacksonville, FL 32207-5663 2015-10-06
1356501258 Paulette Andrea Green Kropf Pediatrics 841 Prudential Dr, Suite 100, Jacksonville, FL 32207-8329 2008-06-13
1417121260 Daniela Liliana Neagu Pediatrics 841 Prudential Dr, Suite 100, Jacksonville, FL 32207-8329 2008-04-14
1053511543 Jason G Ho Pediatrics 841 Prudential Dr, Uf Pediatric Cardiovascular Center, Suite 100, Jacksonville, FL 32207-8329 2007-07-23
1982821799 Thomas J Moon Jr. Pediatrics 841 Prudential Dr, Suite 100, Jacksonville, FL 32207-8329 2007-04-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326503442 Gerold Ludwig Schiebler Pediatrics 408 Beachside Pl, Amelia Island, FL 32034-6551 2019-02-02
1558850149 South Broward Hospital District Pediatrics 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 2018-05-09
1124446182 Kinjal Parikh Pediatrics 3100 Sw 62nd Ave Dept of Medical Education, Miami, FL 33155 2014-04-06
1154694016 Kidz Medical Services Pediatrics 5325 Greenwood Ave Ste 202, West Palm Beach, FL 33407-2452 2012-02-22
1932477023 Samir M. Ebeid Pediatrics 2202 State Ave Ste 302, Panama City, FL 32405 2011-12-05
1083927537 Mch Pediatric Cardiology, LLC Pediatrics 12989 Southern Boulevard Palms West, Mob IIi Suite 203, Loxahatchee, FL 33470 2010-07-26
1407023310 Salvatore Joseph Buonaiuto Pediatrics 601 E. Rollins St., Florida Hospital for Children, Orlando, FL 32803 2008-05-09
1801060652 Sumbal Sattar Pediatrics 512 W Cherry St Ste D, Kissimmee, FL 34741-4114 2008-04-14
1871613620 Carlo M Zeidenweber Pediatrics 9980 Central Park Blvd N Ste 318, Boca Raton, FL 33428-1704 2007-03-29
1295874113 Ramon Rodriguez-torres Pediatrics 13911 Sw 103rd Ave, Miami, FL 33176-6614 2007-02-06
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Competitor

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City JACKSONVILLE
Zip Code 32212

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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