NPIMap

Organization Active NPI

Cunningham Pathology, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Birmingham, AL
National Provider Identifier
1831195437
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
09800 Issued in AL
Legal business name
CUNNINGHAM PATHOLOGY, LLC
Practice address
2720 University Blvd
Birmingham, AL 35233-3408
Phone
(205) 581-5380
Fax
(205) 558-4824
NPI assigned
Jun 28, 2005
Organization subpart
Yes
Parent organization
CUNNINGHAM PATHOLOGY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Sheila Hall
Title
Credentialing Coordinator
Phone
(205) 591-7999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X 09800 AL Primary
Clinical Medical Laboratory 291U00000X 09800 AL

Addresses

Primary practice location

2720 University Blvd
Birmingham, AL 35233-3408

Mailing address

2720 University Blvd
Birmingham, AL 35233-3408
Phone (205) 581-5380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080218000071 AL Part B Supplier - Clinic/Group Practice 2668468802 Receives reassigned benefits from 18 practitioners
2 other NPIs on this enrollment
Practice locations: Birmingham, AL; Tuscaloosa, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Valerie R Wheeler-Mangi2 organizations share this tax ID, including this one
Part of
Valerie R Wheeler-Mangi

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

924 Montclair Rd
Birmingham, AL 35213

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1831195437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 UNIVERSITY BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333408",
            "telephone_number": "205-581-5380",
            "fax_number": "205-558-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 UNIVERSITY BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333408",
            "telephone_number": "205-581-5380",
            "fax_number": "205-558-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNNINGHAM PATHOLOGY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUNNINGHAM PATHOLOGY, LLC",
        "enumeration_date": "2005-06-28",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "205-591-7999"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "09800",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": "09800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.