MARSHALL WADE CUNNINGHAM (NPI# 1770566861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770566861 |
| Entity Type | Individual |
| Full Name | MARSHALL WADE CUNNINGHAM |
| Credential | MD |
| Practice Address |
1020 S State Highway 16 Fredericksburg TX 78624-4471 |
| Mailing Address |
Po Box 294145 Kerrville TX 78029-4145 |
| Practice Telephone | 8309974353 |
| Practice Fax Number | 8309901599 |
| Mailing Telephone | 8887793675 |
| Mailing Fax Number | 8038965211 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2008-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | L9037 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1020 S STATE HIGHWAY 16 |
| City | FREDERICKSBURG |
| State | TX |
| Zip Code | 78624-4471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679190045 | Brooke Eckert | Occupational Therapist | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2020-07-01 |
| 1942827597 | Angela Fiedler | Physical Therapist | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2020-06-30 |
| 1285251850 | Beverly Van Geffen | Physical Therapist | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2020-06-30 |
| 1164976569 | Cross Mountain Inpatient Services Pllc | Hospitalist | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2016-08-15 |
| 1598116907 | Texas Em-i Medical Services Pa | Physician Assistant | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2016-06-27 |
| 1235580648 | Barons Creek Emergency Physicians Pllc | Emergency Medicine | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2016-06-27 |
| 1609241553 | Winter Honig Peuziat | Nurse Practitioner | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2015-12-03 |
| 1851719025 | Gregory Shaun Wiggins | Nurse Anesthetist, Certified Registered | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2014-04-03 |
| 1417382441 | Fritztown Anesthesia Associates, Pllc | Nurse Anesthetist, Certified Registered | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2013-09-10 |
| 1083048292 | Capitol Global Emergency Services, Inc | Emergency Medicine | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2013-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992357669 | Cynthia Hui Kim | Registered Nurse | 1020 S State, Tx-16, Fredericksburg, TX 78624 | 2019-07-12 |
| 1023515533 | Fredericksburg Eye Associates, Pllc | Ophthalmology | 755 S. Washington St., Fredericksburg, TX 78624 | 2018-04-11 |
| 1922503358 | Ave Maria Hospice of Fredericksburg, LLC | Hospice Care, Community Based | 204 S. Adams St. #a, Fredericksburg, TX 78624 | 2018-03-27 |
| 1225568546 | David Ronald Rickerhauser | Counselor | 400 Prairie View Trail, Fredericksurg, TX 78624 | 2017-06-19 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1578836532 | James W. Harrington Jr. | Otolaryngology | 644 Red Oak Lane, Fredericksburg, TX 78624 | 2012-02-21 |
| 1366676447 | Pamela Elaine Hansen | Counselor | 607 Pesimmon Ct., Fredericksburg, TX 78624 | 2009-05-05 |
| 1457526048 | Celine Bicquart Ord | Radiology | 753 S Washington St Bldg D, Fredericksburg, TX 78624 | 2008-04-24 |
| 1669669024 | Rebecca S Prescott | Dentist | 408 N Milam St, Fredericksburg, TX 78624 | 2007-10-01 |
| 1407046626 | Charles Richard Massey Jr. | General Practice | 103 Goehmann Lane, Fredericksburg, TX 78624 | 2007-07-25 |
| Find all providers in zip 78624 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059063 | Joseph Peter Corkum | Plastic Surgery | 1400 Pressler St Unit 1488, Houston, TX 77030-3722 | 2020-10-06 |
| 1780212829 | Kendall R Roehl Md Pllc | Plastic Surgery | 450 W Medical Center Blvd Ste 202, Webster, TX 77598-4229 | 2020-04-01 |
| 1275184871 | Dallas Premier Plastic Surgery, P.l.l.c. | Plastic Surgery | 8144 Walnut Hill Ln Ste 901, Dallas, TX 75231-4386 | 2019-09-25 |
| 1447802798 | Michael Ciaravino, Md Pa | Plastic Surgery | 3700 Buffalo Speedway Ste 850, Houston, TX 77098-3705 | 2019-07-16 |
| 1437617255 | Westlake Dermatology, Pa | Plastic Surgery | 2132 Bissonnet St, Houston, TX 77005-1508 | 2019-03-11 |
| 1528530326 | Peter George Dziewulski | Plastic Surgery | Utmb 301 University Boulevard 6.146 John Sealy Annex, Galveston, TX 77555-0001 | 2018-12-19 |
| 1225504491 | Beleza Surgery Center LLC | Plastic Surgery | 9899 Towne Lake Pkwy Ste 200, Cypress, TX 77433-6838 | 2018-10-15 |
| 1104311901 | Zeynep Deniz Akdeniz Dogan | Plastic Surgery | 1400 Pressler St The University of Texas Md Anderson Ca, Unit 1488, Houston, TX 77030 | 2018-06-25 |
| 1730604992 | Sarah A Frommer Medical Pllc | Plastic Surgery | 11412 Bee Caves Rd Ste 300, Austin, TX 78738-5515 | 2017-08-09 |
| 1992220180 | Johnny U. Franco, Md, Pa | Plastic Surgery | 3445 Executive Center Dr Ste 213, Austin, TX 78731-1743 | 2017-08-08 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 78624 |
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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.