NPIMap

Organization Active NPI

Kaye a Cunningham MD PC

  • Family Medicine Physician
  • Fort Mohave, AZ
National Provider Identifier
1053421057
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Z8326 Issued in AZ
Legal business name
KAYE A CUNNINGHAM MD PC
Practice address
5653 Hwy 95
Suite a
Fort Mohave, AZ 86426
Phone
(928) 768-2558
Fax
(928) 788-2039
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kaye Avarann Cunningham, MD PC
Title
Attending Physician
Phone
(928) 768-2558

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A71438 CA
Family Medicine Physician 207Q00000X Z8326 AZ Primary

Addresses

Primary practice location

5653 Hwy 95
Suite a
Fort Mohave, AZ 86426

Mailing address

PO Box 8368
Fort Mohave, AZ 86427
Phone (928) 768-2558

Other identifiers 2

IdentifierTypeStateIssuer
27112533MedicaidCA
514704MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053421057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8368",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "86427",
            "telephone_number": "928-768-2558",
            "fax_number": "928-788-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 HWY 95",
            "address_2": "SUITE A",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "86426",
            "telephone_number": "928-768-2558",
            "fax_number": "928-788-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYE A CUNNINGHAM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "KAYE",
        "authorized_official_middle_name": "AVARANN",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "928-768-2558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A71438",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "Z8326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27112533",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514704",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mohave, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.