MARY J CUNNINGHAM (NPI# 1902902760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902902760 |
| Entity Type | Individual |
| Full Name | MARY J CUNNINGHAM |
| Credential | MD |
| Practice Address |
475 Irving Ave Ste 204 Syracuse NY 13210-1529 |
| Mailing Address |
1001 W Fayette St Suite 400 Syracuse NY 13204-2859 |
| Practice Telephone | 3156344112 |
| Practice Fax Number | 3156344117 |
| Mailing Telephone | 3154721488 |
| Mailing Fax Number | 3154761792 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
185656 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01274419 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5008 Brittonfield Pkwy, Suite 400, East Syracuse, NY 130579248 | 3156344112 | 3156344117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679190094 | Mary Elizabeth Cunningham | Registered Nurse | 155 Lincoln St, Norwell, MA 02061-1225 | 2020-07-01 |
| 1760037246 | Mary Burke Cunningham | Counselor | 7 Evergreen Pl, Roseland, NJ 07068-1224 | 2019-08-02 |
| 1003398884 | Mary P Cunningham | Social Worker | 9 Amanda Rd, Sudbury, MA 01776-2500 | 2018-08-29 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1689065260 | Mary Beth Cunningham | Massage Therapist | 2333 Maccorkle Ave Ste 106, Saint Albans, WV 25177-2011 | 2015-02-18 |
| 1154452704 | Mary Camille Cunningham | Counselor | 11820 El Solindo Ave Ne, Albuquerque, NM 87111-4049 | 2007-03-07 |
| 1659432094 | Mary Ann Cunningham | Nurse Practitioner | 345 Lafayette Ct, Ellisville, MO 63011 | 2006-12-12 |
| 1568557627 | Mary Ana Cunningham | Dermatology | 3464 Rr 620 S, Bee Cave, TX 78738-6805 | 2006-10-04 |
| 1437262698 | Mary Allison Cunningham | Pediatrics | 4880 Harkey Ln, Tuscaloosa, AL 35406-2863 | 2006-08-15 |
| 1376192351 | Mary Cunningham | Chiropractor | 595 Roswell St Ne, Marietta, GA 30060-8218 | 2019-09-11 |
| Street Address |
475 IRVING AVE STE 204 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 |
|---|---|---|---|---|
| 1902982473 | Wiley Douglas Bunn Jr. | Obstetrics & Gynecology | 475 Irving Avenue, Suite 204, Syracuse, NY 13210 | 2006-10-27 |
| 1780675645 | Abdulghaffar Musa | Obstetrics & Gynecology | 101 S Warren St, Syracuse, NY 13202-1147 | 2005-10-31 |
| 1457393092 | Gyn Oncology Associates | Obstetrics & Gynecology | 101 S Warren St, Syracuse, NY 13202-1147 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295363125 | Health Quest Medical Practice, PC | Obstetrics & Gynecology | 1240 Ulster Ave--gyn. Onc. Dept., Kingston, NY 12401-1517 | 2020-03-27 |
| 1447803028 | Dib Sassine | Obstetrics & Gynecology | 1233 York Ave Apt 10q, New York, NY 10065-6342 | 2019-07-22 |
| 1578049417 | Derman Basaran | Obstetrics & Gynecology | 504 E 63rd St Apt 17l, New York, NY 10065-7920 | 2018-07-13 |
| 1740706415 | Benny Brandt | Obstetrics & Gynecology | 1233 York Ave Apt 11o, New York, NY 10065-6342 | 2017-08-15 |
| 1447666862 | Zeitoun Medical Pllc | Obstetrics & Gynecology | 139 E 23rd St Fl 2, New York, NY 10010-3788 | 2014-07-07 |
| 1912265315 | David Gal | Obstetrics & Gynecology | 515 E 79th St Apt 28a, New York, NY 10075-0781 | 2012-04-24 |
| 1184990384 | Deanna Gerber | Obstetrics & Gynecology | 22 Heritage Dr Apt B, New City, NY 10956-5350 | 2012-04-02 |
| 1497032106 | Eugenia Girda | Obstetrics & Gynecology | 1732 E 13th St, Brooklyn, NY 11229-1902 | 2011-11-08 |
| 1972895092 | Gregory Matthew Gressel | Obstetrics & Gynecology | 1695 Eastchester Rd Ste 600, Bronx, NY 10461 | 2011-05-08 |
| 1366760282 | Jovana Yanique Martin | Obstetrics & Gynecology | 319 S Manning Blvd Ste 301, Albany, NY 12208 | 2010-05-17 |
| 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.