Jan H. Cunningham, MD, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

09984 Issued in WV

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093478000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen James
• Nikki James, COUNSELOR
• Shelby James
• Terri Lea James
• Jamie Lynn Peden, LLC
• Dinchen Anna Jardine, M.D.
• Alexis Jarrell
• Amy Jarrell
• Angla Jarrell
• Candice Rhiannon Jarrell, FNP

• Medical Specialty Clinic/Center in Charleston, WV
• Providers in Charleston, WV by specialty
• Medical Specialty Clinic/Center in West Virginia

• 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.

Verify at the official NPI Registry.