STEPHANIE MARIE CUNNINGHAM (NPI# 1659623593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659623593 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARIE CUNNINGHAM |
| Credential | PA-C |
| Practice Address |
4081 Cascade Rd Se Suite A Grand Rapids MI 49546-2170 |
| Practice Telephone | 6169573500 |
| Practice Fax Number | 6169573501 |
| Mailing Telephone | 6169573500 |
| Mailing Fax Number | 6169573501 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601006469 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1982832226 | Stephanie L Cunningham | Emergency Medicine | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2009-06-25 |
| 1255422259 | Stephanie Prince Cunningham | Obstetrics & Gynecology | 2875 Jimmy Johnson Blvd Ste 100, Port Arthur, TX 77640-2002 | 2006-09-27 |
| Street Address |
4081 CASCADE RD SE SUITE A |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-2170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952359895 | David D. Sova | Family Medicine | 4081 Cascade Rd Se, Ste A, Grand Rapids, MI 49456 | 2006-05-04 |
| 1356746440 | American Hearing Centers, LLC | Clinic/Center | 4081 Cascade Rd Se, Grand Rapids, MI 49546-2170 | 2014-10-31 |
| 1639418601 | Ashley Marie Christensen | Hearing Instrument Specialist | 4081 Cascade Rd Se, Grand Rapids, MI 49546-2170 | 2013-02-11 |
| 1043564305 | Jessica Rae Alighire | Physician Assistant | 4081 Cascade Rd Se, Suite A, Grand Rapids, MI 49546-2170 | 2012-11-07 |
| 1376847145 | West Michigan Urgent Care Inc | Family Medicine | 4081 Cascade Rd Se, Ste A, Grand Rapids, MI 49546-2170 | 2011-01-07 |
| 1124274006 | Stephen Prefontaine, Do, Plc | Family Medicine | 4081 Cascade Rd Se, Suite A, Grand Rapids, MI 49546-2170 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740839505 | Rachel Lauren Zokoe | Physician Assistant | 4024 Park East Ct Se Ste C, Grand Rapids, MI 49546-8810 | 2019-09-05 |
| 1689046187 | Emily Lauren Amato | Physician Assistant | 1310 E Beltline Ave Se Ste 130, Grand Rapids, MI 49506-4303 | 2015-10-22 |
| 1568864353 | Brittany L Babiak | Physician Assistant | 4362 Cascade Rd Se Ste 206, Grand Rapids, MI 49546-3670 | 2014-09-23 |
| 1760760037 | Cristian Rodriguez | Physician Assistant | 2155 Buchanan St Sw, Grand Rapids, MI 49507 | 2011-08-03 |
| 1851423750 | Barbara Ann Grinwis | Physician Assistant | 522 Leonard St Nw, Grand Rapids, MI 49504-4258 | 2007-03-09 |
| 1922170158 | Robin M Iknayan | Physician Assistant | 350 Lafayette Ave Se Fl 4, Grand Rapids, MI 49503-4656 | 2006-11-14 |
| 1043391154 | Marc Allen Bush | Physician Assistant | 100 Michigan St. Nw, Suite A721, Grand Rapids, MI 49503 | 2006-10-17 |
| 1437254430 | David Joseph Barney | Physician Assistant | 6690 Crossings Dr Se Ste C, Grand Rapids, MI 49508 | 2006-09-14 |
| 1144232505 | Robert W Schmitt | Physician Assistant | 3260 Eagle Park Dr Ne Ste 115, Grand Rapids, MI 49525-4569 | 2006-08-13 |
| 1598775322 | Crystal A Dole | Physician Assistant | 2155 E Paris Ave Se Ste 210, Grand Rapids, MI 49546-6142 | 2006-08-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on STEPHANIE MARIE 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.