Active NPI
Christopher Cunnyngham, M.D.
- Pediatric Critical Care Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- M9943
- Practice address
- 3300 NW Expressway
Oklahoma City, OK 73112-4418 - Phone
- (405) 949-3919
- Fax
- (405) 713-4656
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M9943 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10022947 | TX | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | M9943 | TX | Primary |
Addresses
Primary practice location
3300 NW Expressway
Oklahoma City, OK 73112-4418
Mailing address
5300 N Independence Ave
280
Oklahoma City, OK 73112-5556
Phone (405) 949-3919
Other practice location 1
3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-4001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196578202 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMPORARY | TX | MD | Hematology & Oncology Physician |
| M9943 | TX | MD | Pediatrics Physician |
| BP10022947 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Ambulatory Care Corporation | Pediatrics | Current | Accepting new patients |
| Integris Baptist Medical Center Inc | Past | Accepting new patients | |
| Childrens Critical Care Specialists PLLC | Pediatrics | Past | Accepting new patients |
| Texas Institute of Medicine and Surgery | Pediatrics | Past | Accepting new patients |
Locations
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
Interoperability endpoints
- ccunnyngham78908@direct.integrisok.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
Pediatrics
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1598921223
-
- Transplant Surgery Physician
- San Antonio, TX
- NPI 1376501668
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1235337122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE",
"address_2": "280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125556",
"telephone_number": "405-949-3919",
"fax_number": "405-713-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 NW EXPRESSWAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124418",
"telephone_number": "405-949-3919",
"fax_number": "405-713-4656"
}
],
"practiceLocations": [
{
"address_1": "3300 NW Expressway",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731124418",
"country_code": "US",
"telephone_number": "405-949-4001",
"fax_number": "405-945-5042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNYNGHAM",
"first_name": "CHRISTOPHER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M9943",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10022947",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "M9943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "196578202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.