BILLY L. CUNNINGTON (NPI# 1710943402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710943402 |
| Entity Type | Individual |
| Full Name | BILLY L. CUNNINGTON |
| Credential | PA-C |
| Practice Address |
10330 Se 32nd Avenue Suite 210 Clackamas OR 97222-6594 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5039621000 |
| Practice Fax Number | 5094447807 |
| Mailing Telephone | 5032156644 |
| Mailing Fax Number | 5032156494 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA10004581 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA155381 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10330 SE 32ND AVENUE SUITE 210 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97222-6594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942276969 | Jeanette L. Tanega | Physician Assistant | 10100 Se Sunnyside Rd, Mt. Talbert Medical Office, Clackamas, OR 97015-8970 | 2006-02-28 |
| 1013268200 | Lionel P Marx | Physician Assistant | 9800 Se Sunnyside Road, Kaiser Permanente, Clackamas, OR 97015-2156 | 2012-09-27 |
| 1548589625 | Jennifer Marie Krahn | Physician Assistant | 9290 Se Sunnybrook Blvd, Suite 120, Clackamas, OR 97015-6899 | 2010-05-27 |
| 1477678100 | Kristen Diane Perry | Physician Assistant | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2007-03-20 |
| 1477685022 | Claudio Rogerio Lima | Physician Assistant | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2007-03-09 |
| 1437241460 | Cindy Lee Quale | Physician Assistant | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-09-28 |
| 1346340106 | Linda Darling Onheiber | Physician Assistant | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-09-22 |
| 1023121118 | Dale Fossati | Physician Assistant | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2006-08-16 |
| 1740204627 | Aubrey Anne Joslin | Physician Assistant | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
| 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.