Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265501191 Individual Practitioner Male Practitioner

Dr. Jan Howard Cunningham , MD

Specialist • Charleston, WV

Professional Overview & Biography Verified Profile Summary

Dr. Jan Cunningham, MD is a registered healthcare professional specializing in Specialist in Charleston, WV. Practice services are available at 830 PENNSYLVANIA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

830 Pennsylvania Ave
Suite 405

Charleston, WV 253023302

Telephone 3043454770
Fax 3043454774
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Charleston, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 42.8 Yrs
State Avg: 34.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Charleston, WV (309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WV 09984

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0093478000 (WV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Stephen Bush , MD

Obstetrics & Gynecology

NPI 1013980416

Doctor of Medicine (M.D.)

Dr. John Eckerd , MD

Pediatrics - Pediatric Cardiology

NPI 1023118825

Doctor of Medicine (M.D.)

Dr. Carrie Bush , MD

Otolaryngology

NPI 1033371711

Doctor of Medicine (M.D.)

NPI 1033381801

Doctor of Medicine (M.D.)

Dr. Pickens Gantt , MD

Obstetrics & Gynecology - Reproductive Endocrinology

NPI 1063519445

Doctor of Medicine (M.D.)

NPI 1063646529

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 830 PENNSYLVANIA AVE, SUITE 405, CHARLESTON, WV 253023302 (Tel: 3043454770)

📍
Updated Business Mailing Address July 08, 2007

Registered at 830 PENNSYLVANIA AVE, SUITE 405, CHARLESTON, WV 253023302 (Tel: 3043454770)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JAN CUNNINGHAM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #09984 in WV)

🟢
Initial NPI Registration & Enumeration November 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265501191
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

830 Pennsylvania Ave, Suite 405

Charleston, WV 253023302

Phone: 3043454770

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.