JAN H. CUNNINGHAM, MD, PLLC
NPI 1962696112
Clinic/Center - Medical Specialty in Charleston, WV

Q: What is Jan H. Cunningham, MD, PLLC's NPI number?

The NPI number for Jan H. Cunningham, MD, PLLC is 1962696112. It was assigned to this organization in the NPPES registry on August 30, 2007.

Q: What is Jan H. Cunningham, MD, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since August 30, 2007

830 PENNSYLVANIA AVE, 405, CHARLESTON, WV 25302(304) 345-4770(304) 345-4774 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jan H. Cunningham, Md, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAN H. CUNNINGHAM, MD, PLLC (NPI 1962696112) is a healthcare organization registered as a medical specialty in Charleston, West Virginia and active in the NPI registry since August 2007. The organization lists Jan Howard Cunningham, Owner, Member, as its authorized official.

NPPES Registry Identity

NPI1962696112

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameJAN H. CUNNINGHAM, MD, PLLC

Location Address830 PENNSYLVANIA AVE, 405Charleston, WV 25302-3302

Mailing Address830 Pennsylvania Ave, 405Charleston, WV 25302-5302 · (304) 345-4770 · Fax (304) 345-4774

Phone(304) 345-4770

Fax(304) 345-4774

Organization SubpartNo

Authorized OfficialJan Howard CunninghamOwner, Member · (304) 345-4770

Enumeration DateAugust 30, 2007

Last NPPES UpdateNovember 30, 2007

✔ NPI 1962696112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in WV · 09984

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

830 PENNSYLVANIA AVE, Charleston, WV 25302

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Other Identifiers 3

Medicare OSCAR/certificationJA9353301WV

Medicare UPINA71979WV

Medicaid0093478000WV

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN HAROLD BUSH MD

Obstetrics & Gynecology

830 PENNSYLVANIA AVE
CHARLESTON, WV 25302

Kanawha County (304) 388-1515

DR. JOHN M ECKERD M.D.

Pediatrics (Pediatric Cardiology)

830 PENNSYLVANIA AVE, SUITE 103
CHARLESTON, WV 25302

Kanawha County (304) 388-1552

CARRIE MARIE BUSH M.D.

Otolaryngology

830 PENNSYLVANIA AVE, SUITE 405
CHARLESTON, WV 25302

Kanawha County (304) 388-2980

MARCUS DODDRIDGE SHAFFER M.D.

Otolaryngology

830 PENNSYLVANIA AVE, SUITE 302
CHARLESTON, WV 25302

Kanawha County (304) 388-2950

PICKENS A. GANTT II M.D.

Obstetrics & Gynecology (Reproductive Endocrinology)

830 PENNSYLVANIA AVE, SUITE 205
CHARLESTON, WV 25302

Kanawha County (304) 388-2863

MS. JENNIFER DIVITA D.O.

Pediatrics

830 PENNSYLVANIA AVE, STE 200
CHARLESTON, WV 25302

Kanawha County (304) 388-2709

INTEGRATED HEALTH CARE PROVIDERS, INC.

Clinical Medical Laboratory

830 PENNSYLVANIA AVE, SUITE 302
CHARLESTON, WV 25302

Kanawha County (304) 388-2950

SCOTT A. NAEGELE, MD, PLLC

Obstetrics & Gynecology

830 PENNSYLVANIA AVE, SUITE 108
CHARLESTON, WV 25302

Kanawha County (304) 344-8368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jan H. Cunningham, MD, PLLC's NPI number?

The NPI number for Jan H. Cunningham, MD, PLLC is 1962696112. It was assigned to this organization in the NPPES registry on August 30, 2007.

Where is Jan H. Cunningham, MD, PLLC located?

Jan H. Cunningham, MD, PLLC is located at 830 Pennsylvania Ave 405, Charleston, WV 25302. The listed phone number is (304) 345-4770.

What is Jan H. Cunningham, MD, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Jan H. Cunningham, MD, PLLC was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.