Stephanie P. Cunningham DO PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

STEPHANIE P. CUNNINGHAM DO PA

Doing business as

Advanced Women's Healthcare

Practice address

2875 Jimmy Johnson Blvd # 100
Port Arthur, TX 77640-2002

Phone

(409) 729-9222

Fax

(409) 722-9425

NPI assigned

Jun 30, 2008

Last updated

Jan 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie P Cunningham, D.O. P.A.NPI 1255422259

Title

Owner

Phone

(409) 729-9222

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Women's Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Prince Cunningham, D.O.

  • Obstetrics & Gynecology Physician
  • Port Arthur, TX
  • NPI 1255422259
  Medicare reassignment Care Compare group NPD Authorized official
• Gene E. Jones, M.D.

  • Gynecology Physician
  • Port Arthur, TX
  • NPI 1134128119
  Medicare reassignment Care Compare group NPD
• Tara Breaux, NP-C

  • Adult Health Nurse Practitioner
  • Orange, TX
  • NPI 1831366087
  Medicare reassignment NPD
• Jennifer Leigh Balsano, FNP-C

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1699116277
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1801058987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 JIMMY JOHNSON BLVD # 100",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402002",
            "telephone_number": "409-729-9222",
            "fax_number": "409-722-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 JIMMY JOHNSON BLVD # 100",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402002",
            "telephone_number": "409-729-9222",
            "fax_number": "409-722-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE P. CUNNINGHAM DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-729-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O. P.A."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "092341901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00194Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Women's Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest LTC Gulf Healthcare LTD (Gulf Healthcare Center Port Arthur)
• Shernakia S Spencer, PHARMD.
• Sreedhar Polavarapu MD PA
• Lavanya Janardan Srinivasan, RD
• Standard Medical Clinic, PA
• Stephen L. Hall, D.O., P.a.
• Maureen Stevens, PT
• John Harlan Stewart, MD
• Strandz Medical Prosthetics LLC
• Barbara Marie Stubee, M.D.

• Obstetrics & Gynecology Physician in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.