Active NPI
Jan H. Cunningham, MD, PLLC
- Medical Specialty Clinic/Center
- Charleston, WV
National Provider Identifier
1962696112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 09984
- Legal business name
- JAN H. CUNNINGHAM, MD, PLLC
- Practice address
- 830 Pennsylvania Ave
405
Charleston, WV 25302-3302 - Phone
- (304) 345-4770
- Fax
- (304) 345-4774
- NPI assigned
- Aug 30, 2007
- Last updated
- Nov 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jan Howard Cunningham, MD
- Title
- Owner, Member
- Phone
- (304) 345-4770
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 09984 | WV | Primary |
Addresses
Primary practice location
830 Pennsylvania Ave
405
Charleston, WV 25302-3302
Mailing address
830 Pennsylvania Ave
405
Charleston, WV 25302-5302
Phone (304) 345-4770
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Specialist
- Charleston, WV
- NPI 1265501191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196380800000",
"number": "1962696112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 PENNSYLVANIA AVE",
"address_2": "405",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253025302",
"telephone_number": "304-345-4770",
"fax_number": "304-345-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 PENNSYLVANIA AVE",
"address_2": "405",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023302",
"telephone_number": "304-345-4770",
"fax_number": "304-345-4774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAN H. CUNNINGHAM, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-30",
"last_updated": "2007-11-30",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "JAN",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "OWNER, MEMBER",
"authorized_official_telephone_number": "304-345-4770",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "WV",
"license": "09984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.