Taylor J Cunningham, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3891-23 Issued in WI

Practice address

1200 Oakleaf Way Ste a
Altoona, WI 54720-2217

Phone

(715) 832-1400

Fax

(715) 832-4187

NPI assigned

Aug 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chippewa Valley Orthopedics and Sports Medicine Clinic SCGroup PAC ID 7618948399, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oakleaf Surgical Hospital Hospital, Altoona, WI, CCN 520196

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tjcunningham@cvosm.emadirect.md

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.

• Chippewa Valley Orthopedics and Sports Medicine Clinic SC

  • Orthopaedic Surgery Physician
  • Altoona, WI
  • NPI 1699778829
  Medicare reassignment Care Compare group
• Black River Health Inc

  • Critical Access Hospital
  • Black River Falls, WI
  • NPI 1811940331
  Medicare reassignment
• Black River Health Inc

  • Oxygen Equipment & Supplies (DME)
  • Black River Falls, WI
  • NPI 1285782250
  NPD
• Chippewa Valley Orthopedics and Sports Medicine Clinic, SC

  • Physical Therapy Clinic/Center
  • Rice Lake, WI
  • NPI 1023884376
  NPD
• Medical X-Ray Consultants, LTD

  • Vascular & Interventional Radiology Physician
  • Alexandria, MN
  • NPI 1386601383

  Physician Assistant

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oak Leaf Surgical Hospital LLC

  • Special Hospital
  • Altoona, WI
  • NPI 1669463832
  Care Compare affiliation

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1952856346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OAKLEAF WAY STE A",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202217",
            "telephone_number": "715-832-1400",
            "fax_number": "715-832-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OAKLEAF WAY STE A",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202217",
            "telephone_number": "715-832-1400",
            "fax_number": "715-832-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "TAYLOR",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3891-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heather Dayton, ATC, LAT
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• Rima Abraham Defatta, M.D.
• Robert Joseph Defatta, MD, PH D, FACS
• Dax Demaree, D.O.

• Physician Assistant in Altoona, WI
• Providers in Altoona, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.

Verify at the official NPI Registry.