JAN H. CUNNINGHAM, MD, PLLC (NPI# 1962696112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962696112 |
| Entity Type | Organization |
| Organization Name | JAN H. CUNNINGHAM, MD, PLLC |
| Practice Address |
830 Pennsylvania Ave 405 Charleston WV 25302-3302 |
| Mailing Address |
830 Pennsylvania Ave 405 Charleston WV 25302-5302 |
| Practice Telephone | 3043454770 |
| Practice Fax Number | 3043454774 |
| Mailing Telephone | 3043454770 |
| Mailing Fax Number | 3043454774 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-11-30 |
| Authorized Official Name | DR. JAN HOWARD CUNNINGHAM (OWNER, MEMBER) |
| Authorized Official Telephone | 3043454770 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
09984 | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0093478000 | 05 |
| Street Address |
830 PENNSYLVANIA AVE 405 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25302-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253497 | Scott Alan Naegele | Obstetrics & Gynecology | 830 Pennsylvania Ave, Suite 108, Charleston, WV 25302-3389 | 2005-05-23 |
| 1134678071 | Meredith Anne Chapman | Dietitian, Registered | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302-3302 | 2016-10-03 |
| 1790168409 | Muhammad Farhan Khaliq | Internal Medicine | 830 Pennsylvania Ave, Women and Children's Medical Staff Office, Suite 103, Charleston, WV 25302-3302 | 2015-06-30 |
| 1467869537 | Amarah Shakoor | Student in an Organized Health Care Education/Training Program | 830 Pennsylvania Ave, Suite 102, Charleston, WV 25302-3302 | 2014-07-21 |
| 1154734465 | Thomas Hunter & Associates, Pllc | Obstetrics & Gynecology | 830 Pennsylvania Ave, Ste 402, Charleston, WV 25302-3302 | 2014-06-04 |
| 1881031557 | Integrated Health Care Providers, Inc. | Surgery | 830 Pennsylvania Ave, Suite 305, Charleston, WV 25302-3302 | 2013-06-04 |
| 1528300829 | Brandi Elizabeth Sentz | Dietitian, Registered | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302-3302 | 2013-03-25 |
| 1821338047 | Abc Pediatrics, Pllc | Pediatrics | 830 Pennsylvania Ave, Ste. 200, Charleston, WV 25302-3302 | 2013-02-25 |
| 1174842140 | Ashley E Meyer | Pediatrics | 830 Pennsylvania Ave, Ste 103, Charleston, WV 25302-3302 | 2010-05-28 |
| 1134456171 | Marsha Harris | Registered Nurse | 830 Pennsylvania Ave, Ste 104, Charleston, WV 25302-3302 | 2009-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
| 1154929446 | Christine Balser | Technician | 3324 Pennsylvania Avenue, Charleston, WV 25302 | 2020-10-09 |
| 1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1831753185 | Philip Rhoney Fending | Student in an Organized Health Care Education/Training Program | Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-23 |
| 1851854491 | Amee Atulkumar Amin | Student in an Organized Health Care Education/Training Program | Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-10 |
| 1790276525 | Womencare Inc | Clinic/Center | 812 Park Ave # 35, Charleston, WV 25302 | 2018-05-29 |
| 1245729771 | Zunaira Mahmood | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 | 2018-05-10 |
| 1093212383 | Rahiya Binte Rehman | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 | 2018-04-12 |
| Find all providers in zip 25302 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568769354 | Wvupc-medicine & Specialty Office | Clinic/Center | 4522 Maccorkle Ave Se, Charleston, WV 25304-1840 | 2011-02-15 |
| 1912204702 | Wvupc-camc Fam Med Surgery Center | Clinic/Center | 1201 Washington St E, Charleston, WV 25301-1834 | 2011-02-15 |
| 1275840423 | Medical University of South Carolina | Clinic/Center | 25 Courtenay Dr, Charleston, SC 29425-8911 | 2010-09-09 |
| 1922323740 | G T Little Md P.a. | Clinic/Center | 280 Rutledge Ave, Charleston, SC 29403-5352 | 2010-04-05 |
| 1285860098 | Palmetto Vein Specialists, LLC | Clinic/Center | 9313 Medical Plaza Dr, Ste 303, Charleston, SC 29406-9155 | 2009-06-08 |
| 1295906816 | Coastal Gastroenterology & Hepatology LLC | Clinic/Center | 1616 Ashley River Rd, Charleston, SC 29407-5902 | 2008-03-24 |
| 1164690947 | Arrhythmia Specialists of Charleston | Clinic/Center | 125 Doughty St, Suite 695, Charleston, SC 29403-5736 | 2008-02-14 |
| 1033393954 | E Family Medicin Grp | Clinic/Center | 295 Calhoun St, Charleston, SC 29425-8904 | 2007-12-27 |
| 1174706337 | Seung-jun O, PC | Clinic/Center | 2097 Henry Tecklenburg Dr, Suite 212 West, Charleston, SC 29414-5740 | 2007-12-11 |
| 1912029612 | Trident Medical Center, LLC | Clinic/Center | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2007-04-04 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25302 |
Please comment or provide details below to improve the information on JAN H. CUNNINGHAM, MD, PLLC.
| 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.