National Provider Identifier
Scott Mark Cunningham, DO
Scott Mark Cunningham, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Jamestown, NY and a listed phone number of (716) 661-8330.
Profile Overview
- NPI
- 1568403624
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- June 09, 2006
- Last Updated
- July 21, 2022
Practice Location
- 200 E 3Rd St
- Jamestown, NY 14701-5433
Phone: (716) 661-8330
Mailing Address
- 7 N Erie St
- Mayville, NY 14757-1095
Specialties
- Family Medicine Physician (207Q00000X)
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1568403624
- Entity Type
- Individual
- Last Name
- Cunningham
- First Name
- Scott
- Middle Name
- Mark
- Credential
- DO
- Mailing Street Address
- 7 N Erie St
- Mailing City
- Mayville
- Mailing State
- NY
- Mailing ZIP Code
- 14757-1095
- Mailing Country
- US
- Mailing Phone
- (716) 753-4104
- Mailing Fax
- (716) 753-4230
- Practice Street Address
- 200 E 3Rd St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-5433
- Practice Country
- US
- Practice Phone
- (716) 661-8330
- Practice Fax
- (716) 661-8364
- Enumeration Date
- June 09, 2006
- Last Updated
- July 21, 2022
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Emergency Medicine Physician (207P00000X)
- Other Identifiers
- 2250835 (OH), 942460636226 (OH, Caresource), 0017158750008 (PA), 0017158750009 (PA), P00220889 (OH, Medicare Rr-Ga)