Active NPI
Keaton Cunningham
- Physician Assistant
- Lima, OH
National Provider Identifier
1053250712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.010529RX
- Practice address
- 830 W High St Ste 360
Lima, OH 45801-3985 - Phone
- (419) 227-7117
- Fax
- (419) 227-2848
- NPI assigned
- Mar 27, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.010529RX | OH | Primary |
Addresses
Primary practice location
830 W High St Ste 360
Lima, OH 45801-3985
Mailing address
830 W High St Ste 360
Lima, OH 45801-3985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1053250712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 W HIGH ST STE 360",
"city": "LIMA",
"state": "OH",
"postal_code": "458013985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 W HIGH ST STE 360",
"city": "LIMA",
"state": "OH",
"postal_code": "458013985",
"telephone_number": "419-227-7117",
"fax_number": "419-227-2848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "KEATON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-27",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.010529RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.