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Contact Information

EDWIN J CUNNINGHAM, MD
3801 S NATIONAL AVE
WEST TOWER, SUITE 700
SPRINGFIELD, MO65807-5210
 Phone: 417-885-3888
 Fax: 417-881-7638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for EDWIN J CUNNINGHAM · (Male)

NPI Number 1578510954
Status Active
Credentials MD
Entity Individual
Enumeration date 05/30/2006
Last updated 09/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E4587
  • MO License # 2005013024
  • OH License # 82517
  • AR Medicaid 159350001
  • MO Medicaid 207278102
  • AR Other 5N434 ARKANSAS BC/BS
  • AR Other 5N434 ARKANSAS FIRST SOURCE
  • AR Other 5N434 HEALTH ADVANTAGE
  • AR Other 6060020300 QUAL CHOICE
  • MO Other 198370 BLUE CROSS/CHOICE
  • MO Other 8719997003 CIGNA HEALTHCARE
  • MO Other 4188130001 CIGNA MEDICARE
  • MO Other 23274 COX HEALTH PLANS UPI
  • MO Other 106461 HEALTHLINK
  • MO Other 2305711 UNITED HEALTHCARE
  • MO Other H91289 USPS (W/C)
  • WA Other 0215052 DEPARTMENT OF LABOR WA
Hospital affiliation(s)
  • COX MEDICAL CENTER - (Acute Care)
    3801 SOUTH NATIONAL AVENUE
    SPRINGFIELD, MO 65807
  • PHELPS COUNTY REGIONAL MEDICAL CENTER - (Acute Care)
    1000 W 10TH ST
    ROLLA, MO 65401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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