Active NPI
Arwyn Grace Cunningham, D.O.
- Anatomic Pathology & Clinical Pathology Physician
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- DO-06092
- Practice address
- 1227 E Rusholme St
Davenport, IA 52803-2459 - Phone
- (563) 421-6772
- NPI assigned
- May 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | SD | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | TX | ||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | DO-06092 | IA | Primary |
Addresses
Primary practice location
1227 E Rusholme St
Davenport, IA 52803-2459
Mailing address
1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-6772
Other practice location 1
1400 W 22nd St
Sioux Falls, SD 57105-1554
Phone (605) 357-1386
Other practice location 2
1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-2321
Other practice location 3
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1227 E Rusholme St
Davenport, IA 52803-2459
202 Picard St
Alpha, IL 61413-5023
Phone (309) 629-4601
619 5TH St
Durant, IA 52747-7737
Phone (563) 785-4487
855 Illini Dr
Silvis, IL 61282-2904
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-06092 | IA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients |
Locations
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436
619 5th St
Durant, IA 52747
Phone (563) 785-4487
202 Picard St
Alpha, IL 61413
Phone (309) 629-4601
Organizations & group practices 4
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.
-
dba Genesis Health Group
- Family Medicine Physician
- Davenport, IA
- NPI 1477654945
IL
-
dba Genesis Convenient Care Bettendorf
- Clinic/Center
- Bettendorf, IA
- NPI 1497772008
-
dba Genesis Health Group, Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Davenport, IA
- NPI 1295196798
-
dba Genesis Medical Center Dewitt
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Medical Center Dewitt
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
dba Genesis Medical Center Davenport
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
dba MercyOne Clinton Medical Center
- General Acute Care Hospital
- Clinton, IA
- NPI 1427093962
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1538514138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 E RUSHOLME ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032459",
"telephone_number": "563-421-6772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 E RUSHOLME ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032459",
"telephone_number": "563-421-6772"
}
],
"practiceLocations": [
{
"address_1": "1400 W 22nd St",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571051554",
"country_code": "US",
"telephone_number": "605-357-1386",
"fax_number": "605-357-1548",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 University Of New Mexico",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871310001",
"country_code": "US",
"telephone_number": "505-272-2321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 University Blvd",
"address_purpose": "LOCATION",
"city": "Galveston",
"state": "TX",
"postal_code": "775555302",
"country_code": "US",
"telephone_number": "409-772-2870",
"fax_number": "409-747-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "ARWYN",
"middle_name": "GRACE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "SD",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IA",
"license": "DO-06092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.