Organization Active NPI

Beth Cunningham, M.D., P.C.

  • Ophthalmology Physician
  • Annapolis, MD
National Provider Identifier
1649647629
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0062732 Issued in MD
Legal business name
BETH CUNNINGHAM, M.D., P.C.
Practice address
107 Ridgely Ave
Suite 10
Annapolis, MD 21401-1417
Phone
(410) 598-0853
NPI assigned
Aug 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Dr. Beth Erin Cunningham, M.D.NPI 1497752596
Title
President
Phone
(410) 598-0853

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X D0062732 MD Primary

Addresses

Primary practice location

107 Ridgely Ave
Suite 10
Annapolis, MD 21401-1417

Mailing address

2001 Choptank Ave
Pasadena, MD 21122-3523
Phone (410) 598-0853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151116002014 MD Part B Supplier - Clinic/Group Practice 7113237413 Receives reassigned benefits from 1 practitioner
Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Locations

107 Ridgely Ave
Ste 10
Annapolis, MD 21401
Phone (410) 268-6464

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": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1649647629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CHOPTANK AVE",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211223523",
            "telephone_number": "410-598-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 RIDGELY AVE",
            "address_2": "SUITE 10",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011417",
            "telephone_number": "410-598-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH CUNNINGHAM, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-598-0853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0062732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.