Individual provider Active NPI

Stephan Cunningham, DPM

  • Podiatrist
  • Parma, OH
National Provider Identifier
1831695840
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
213E00000X Issued in OH
Practice address
5500 Laurent Dr Apt 728
Parma, OH 44129-5978
Phone
(203) 214-3412
NPI assigned
Mar 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 213E00000X OH Primary

Addresses

Primary practice location

5500 Laurent Dr Apt 728
Parma, OH 44129-5978

Mailing address

5500 Laurent Dr Apt 728
Parma, OH 44129-5978
Phone (203) 214-3412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210811003143 OH Practitioner - Podiatry 2365799558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Clinical Services LLCGroup PAC ID 5991177313, 49 clinicians
Wound Care Consultants LLCGroup PAC ID 2567646359, 29 clinicians

Practice addresses (Care Compare)

12301 Ridge Rd
North Royalton, OH 44133-3744
Phone (216) 331-6750

6789 Ridge Rd
Suite 305
Parma, OH 44129-5635
Phone (440) 491-8334

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue710
Removal or shaving of skin growth19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
213E00000XOHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Consultants LLC Podiatrist CurrentSince Jul 1, 2021 Accepting new patients
Lake Effect Health Current Accepting new patients
Encore Clinical Services LLC Podiatrist CurrentSince Dec 8, 2025 Accepting new patients

Locations

23250 Chagrin Blvd
Ste 150
Beachwood, OH 44122
Phone (216) 402-0027

12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750

6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1831695840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 LAURENT DR APT 728",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295978",
            "telephone_number": "203-214-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 LAURENT DR APT 728",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295978",
            "telephone_number": "203-214-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "STEPHAN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "213E00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.