Individual provider Active NPI

Stephanie Prince Cunningham, D.O.

  • Obstetrics & Gynecology Physician
  • Port Arthur, TX
National Provider Identifier
1255422259
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K1285 Issued in TX
Practice address
2501 Jimmy Johnson Blvd Ste 400
Port Arthur, TX 77640-2013
Phone
(409) 729-9222
Fax
(409) 722-9020
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K1285 TX Primary

Addresses

Primary practice location

2501 Jimmy Johnson Blvd Ste 400
Port Arthur, TX 77640-2013

Mailing address

2501 Jimmy Johnson Blvd Ste 400
Port Arthur, TX 77640-2013
Phone (409) 729-9222

Other identifiers 4

IdentifierTypeStateIssuer
003853MedicaidTX
092341901OtherTXTPI
10589293OtherTXCAQH
4133871OtherTXBLUELINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031229000480 TX Practitioner - Obstetrics/Gynecology 1456259480 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephanie P. Cunningham DO PAGroup PAC ID 7315976446, 2 clinicians
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

2501 Jimmy Johnson Blvd
Suite 400
Port Arthur, TX 77640-2013
Phone (409) 729-9222

2830 Calder St
Beaumont, TX 77702-1809
Phone (864) 908-3530

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
  • The Medical Center of Southeast Texas Hospital, Port Arthur, TX, CCN 450518

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie P. Cunningham DO PA Obstetrics & Gynecology CurrentSince Aug 15, 2005 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince May 1, 2025 Accepting new patients
Millennium OB GYN of Port Arthur PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2023 Accepting new patients
The Medical Center of Southeast Texas LP Past Accepting new patients
Christus Health Southeast Texas Past Accepting new patients
Hsa Port Arthur, LLC Past Accepting new patients
Christus Health Southeast Texas Past Accepting new patients

Locations

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

4640 9th Ave
Ste 103
Port Arthur, TX 77642
Phone (409) 982-9222

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

2875 Jimmy Johnson Blvd
Ste 100
Port Arthur, TX 77640
Phone (409) 338-3007

2501 Jimmy Johnson Blvd
Ste 400
Port Arthur, TX 77640
Phone (409) 729-5633

Interoperability endpoints

  • Direct secure messaging: stephanie.cunningham.1@21544.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1255422259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD STE 400",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402013",
            "telephone_number": "409-729-9222",
            "fax_number": "409-722-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD STE 400",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402013",
            "telephone_number": "409-729-9222",
            "fax_number": "409-722-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "STEPHANIE",
        "middle_name": "PRINCE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K1285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003853",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "092341901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10589293",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUELINK",
            "identifier": "4133871",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.