Kenneth Michael Cunningham, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN-150955 Issued in OH

Practice address

5319 Hoag Drive
Elyria, OH 44035-1494

Phone

(440) 930-6050

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Anesthesia Associates of Lima Inc

  • Certified Registered Nurse Anesthetist
  • Lima, OH
  • NPI 1487662300

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Anesthesia Associates of Northern Ohio, Inc.

  • Anesthesiology Physician
  • Lorain, OH
  • NPI 1659364289
  NPD (past)
• Associated Anesthesiologists of Toledo, Inc

  • Specialist
  • Toledo, OH
  • NPI 1871544312
  NPD (past)
• Chagrin Valley Anesthesia, LLC

  • Ambulatory Surgical Clinic/Center
  • Beachwood, OH
  • NPI 1528002490
  NPD (past)
• Premier Anesthesia of Sandusky, Inc

  • Anesthesiology Physician
  • Lorain, OH
  • NPI 1689668576
  NPD (past)
• Surgical Anesthesia Services of California

  • Anesthesiology Physician
  • Davis, CA
  • NPI 1588831531
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1376545202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13523 BARRETT PARKWAY DRIVE",
            "address_2": "SUITE 104",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630213802",
            "telephone_number": "636-938-6868",
            "fax_number": "636-938-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 HOAG DRIVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351494",
            "telephone_number": "440-930-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KENNETH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "150955",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN-150955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0816086",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amatullah Crook
• Beverly Crook
• Lisa S Crook
• Branden Crum, STNA
• Ashley Csata
• Jasmin Elvira Curry
• Rachel Elizabeth Cwalina
• Ryan Daniel Czech
• Louis D'Amico, MD
• Harinathrao R. Dacha, MD

• Certified Registered Nurse Anesthetist in Elyria, OH
• Providers in Elyria, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.