Charles Alvin Cunningham, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Creston, IA
NPI 1306067384 · NPPES record last updated Aug 9, 2024
Key facts
- NPI
- 1306067384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD-47144 (IA)
- Practice address
- 1610 W Townline St
Creston, IA 50801-1066 - Phone
- (641) 782-3887
- Fax
- (641) 782-6425
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Oklahoma College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greater Regional Medical Center
Practice addresses (Care Compare)
1700 W Townline St
Creston, IA 50801-1054
Phone (641) 782-7091
Hospital & facility affiliations
- Greater Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100908000464 | OK | Practitioner - Obstetrics/Gynecology | 7618091091 | Reassigns benefits to 1 organization |
| I20200928001783 | IA | Practitioner - Obstetrics/Gynecology | 7618091091 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Regional Medical Center | Current |
Accepting new patients | |
| Obhg Oklahoma, P.C. | Obstetrics & Gynecology | Current |
Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| State University of Iowa | Current |
Accepting new patients | |
| Greater Regional Medical Center | Current |
Accepting new patients |
Locations
1610 W Townline St
Ste 100
Creston, IA 50801
Phone (641) 782-3877
1700 W Townline St
Creston, IA 50801
Phone (641) 782-7091
1610 W Townline St
Creston, IA 50801
Phone (641) 782-2131
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
Interoperability endpoints
- ccunningham763391@direct.unitypoint.org
- ccunningha@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 10905A | WY | |
| Obstetrics & Gynecology Physician | 207V00000X | 25200 | OK | |
| Obstetrics & Gynecology Physician | 207V00000X | MD-47144 | IA | Yes |
Addresses
Primary practice location
1610 W Townline St
Creston, IA 50801-1066
Mailing address
1700 W Townline St
Creston, IA 50801-1054
Phone (641) 782-7091
Other practice location 1
4502 E 41st St
Room 2H08
Tulsa, OK 74135-2536
Phone (918) 660-8359
Other practice location 2
2221 Elm St
Rawlins, WY 82301-5108
Phone (307) 324-9098
Other practice location 3
500 E Market St
Iowa City, IA 52245-2633
Phone (319) 356-2294
Other providers in Creston, IA
- Creston Medical Clinic, P.C.
- Creston Vision Clinic PC
- Crossroads Behavioral Health Center
- Crossroads Behavioral Health Services
- Danielle Cummings
- Kyle Rae Dasher
- Jill Dennis
- Ryan David Denny
- Dr. Robert H Sharp, PC
- Eastern Iowa Therapeutics, P.C.
All providers in Creston, IA · Obstetrics & Gynecology Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.