Carrie A Cunnagin, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34006343 Issued in OH

Practice address

165 S Edwin C Moses Blvd
Dayton, OH 45402-8472

Phone

(937) 558-0200

Fax

(937) 558-0201

NPI assigned

Nov 10, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Dayton Osteopathic Hospital

  • Medical Specialty Clinic/Center
  • Dayton, OH
  • NPI 1568633980
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1376524876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 714828",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432714828",
            "telephone_number": "800-723-3504",
            "fax_number": "513-345-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 S EDWIN C MOSES BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454028472",
            "telephone_number": "937-558-0200",
            "fax_number": "937-558-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNAGIN",
        "first_name": "CARRIE",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2264535",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "3601331",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah A Cummings
• Donald Jay Cummings
• Michelle Denise Cummings
• Diane Mary Cummins, RN, CCDC IIIE
• Andrea Cunigan
• David Cunningham, LCDC II
• Frank E Cunningham Jr., MD
• Josselyn Marian Cunningham, L.P.N.
• Latay Cunningham
• Mary E Cupples

• Family Medicine Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.

Verify at the official NPI Registry.