DOUGLAS L CUNNINGHAM (NPI# 1104856475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104856475 |
| Entity Type | Individual |
| Full Name | DOUGLAS L CUNNINGHAM |
| Credential | D.O. |
| Practice Address |
4350 N 19th Ave Suite 6 Phoenix AZ 85015-4602 |
| Practice Telephone | 6022649191 |
| Practice Fax Number | 6025322973 |
| Mailing Telephone | 6022649191 |
| Mailing Fax Number | 6025322973 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
2325 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699761874 | Douglas Eli Cunningham | Podiatrist | 110 Doctors Dr, Suite B-1, Cheraw, SC 29520-7112 | 2005-09-23 |
| 1740733120 | Douglas Cunningham | Community Health Worker | 1805 Edgewater Ave, Cheyenne, WY 82009-7311 | 2016-08-02 |
| 1154679736 | Douglas Wade Cunningham | Physical Therapy Assistant | 2474 E Joyce Blvd, Ste. 2, Fayetteville, AR 72703-4519 | 2012-08-29 |
| Street Address |
4350 N 19TH AVE SUITE 6 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849458 | Barbra Falta | Physician Assistant | 4350 N 19th Ave, Suite #6, Phoenix, AZ 85015-4602 | 2005-08-24 |
| 1578007480 | Robert Hoadley | Registered Nurse | 4350 N 19th Ave, Suit 6, Phoenix, AZ 85015-4602 | 2016-12-12 |
| 1033661244 | Phillip Prusinski | Nurse Practitioner | 4350 N 19th Ave, #6, Phoenix, AZ 85015-4602 | 2016-11-04 |
| 1265745830 | Dennis R Parker, D.o. Ltd | Family Medicine | 4350 N 19th Ave, #1, Phoenix, AZ 85015-4602 | 2010-07-23 |
| 1386795771 | Desert Run Podiatry Plc | Podiatrist | 4350 N 19th Ave, Suite 3, Phoenix, AZ 85015-4602 | 2007-01-15 |
| 1649337601 | Quanzhi Liu | Acupuncturist | 4350 N 19th Ave, #4, Phoenix, AZ 85015 | 2007-01-02 |
| 1790798072 | Pueblo Family Physicians Ltd | Family Medicine | 4350 N 19th Ave, Suite 6, Phoenix, AZ 85015-4602 | 2006-08-15 |
| 1750394144 | Steven Mcrunels | Family Medicine | 4350 N 19th Ave, Phoenix, AZ 85015-4602 | 2006-08-15 |
| 1316990344 | Joyce N Ratner | Podiatrist | 4350 N 19th Ave, Suite 3, Phoenix, AZ 85015-4602 | 2006-05-19 |
| 1871586834 | Mary Isabel Brady | Physician Assistant | 4350 N 19th Ave, Suite #6, Phoenix, AZ 85015 | 2005-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073148326 | Team Select Mobile Physicians Az LLC | Family Medicine | 2999 N 44th St Ste 110, Phoenix, AZ 85018-7247 | 2020-03-06 |
| 1366796773 | Medical Group of Arizona, LLC | Family Medicine | 13430 N. Black Canyon Highway, Suite 100, Phoenix, AZ 85029-1310 | 2012-11-07 |
| 1851612329 | Lake Mi Mobile Doctors, P.C. | Family Medicine | 2345 E. Thomas Rd, Suite # 420, Phoenix, AZ 85016 | 2010-06-18 |
| 1265617013 | Shelly R Myers | Family Medicine | 4520 N 12th St, Suite #103, Phoenix, AZ 85014-4233 | 2007-12-28 |
| 1225236367 | Thomas J Cuomo Jr Md PC | Family Medicine | 13835 N Tatum Blvd # 9468, Phoenix, AZ 85032-5581 | 2007-07-10 |
| 1225132608 | Sona S Giknavorian | Family Medicine | 2345 E Thomas Rd Ste 420, Suite # 420, Phoenix, AZ 85016-7862 | 2006-09-07 |
| 1598702086 | Robin F Macdougall | Family Medicine | 4626 E. Shea Blvd, Suite C230, Phoenix, AZ 85028 | 2006-06-01 |
| 1205812757 | Thomas J Cuomo Jr | Family Medicine | 13835 N Tatum Blvd, 9615, Phoenix, AZ 85032-5581 | 2005-12-16 |
| 1710255088 | Mh7, LLC | Family Medicine | 4520 N 12th St, Suite 103, Phoenix, AZ 85014-4233 | 2011-12-01 |
| 1861624702 | John C. Lincoln, LLC | Family Medicine | 1668 W Glendale Ave, Suite 128, Phoenix, AZ 85021-8948 | 2009-08-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.