NPIMap

Organization Active NPI

Benjamin J. Cunningham, M.D., P.a.

  • Orthopaedic Surgery Physician
  • Odessa, TX
National Provider Identifier
1447449103
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
L3618 Issued in TX
Legal business name
BENJAMIN J. CUNNINGHAM, M.D., P.A.
Practice address
600 N Grant Ave
Suite 200
Odessa, TX 79761-4503
Phone
(432) 331-1234
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Benjamin CunninghamNPI 1568452084
Title
President
Phone
(432) 331-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X L3618 TX Primary

Addresses

Primary practice location

600 N Grant Ave
Suite 200
Odessa, TX 79761-4503

Mailing address

PO Box 1808
Odessa, TX 79760-1808

Other identifiers 1

IdentifierTypeStateIssuer
178954701MedicaidTX

National Provider Directory

National Provider Directory

Locations

600 N Grant Ave
Ste 200
Odessa, TX 79761
Phone (432) 331-1234

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1447449103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1808",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797601808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GRANT AVE",
            "address_2": "SUITE 200",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614503",
            "telephone_number": "432-331-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN J. CUNNINGHAM, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-331-1234"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L3618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178954701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.