Robert Ray Cunningham, MD | |
1 S Keene St, Columbia, MO 65201-7199 | |
(573) 443-2402 | |
(573) 443-0574 |
Full Name | Robert Ray Cunningham |
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Gender | Male |
Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
Location | 1 S Keene St, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831182419 | NPI | - | NPPES |
202733200 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 32818 (Missouri) | Secondary |
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 32818 (Missouri) | Primary |
Entity Name | Columbia Orthopaedic Group, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851392542 PECOS PAC ID: 9335042811 Enrollment ID: O20040130001024 |
Mailing Address | Practice Location Address |
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Robert Ray Cunningham, MD 1 S Keene St, Columbia, MO 65201-7199 Ph: (573) 443-2402 | Robert Ray Cunningham, MD 1 S Keene St, Columbia, MO 65201-7199 Ph: (573) 443-2402 |
Prati Jahnu Reddy, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1100 Virginia Ave, Columbia, MO 65212 Phone: 573-882-2663 | |
Randal R Trecha, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1 S Keene St, Columbia, MO 65201 Phone: 573-443-2402 Fax: 573-443-0574 | |
Gregory John Della Rocca, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2663 Fax: 573-882-0569 | |
Daniel A London, MD, MS Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Virginia Ave, Columbia, MO 65212 Phone: 573-882-2663 Fax: 573-882-1760 | |
Adam Mohamed Fahs, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2663 Fax: 573-882-1760 | |
Levi Nathan Gause, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Virginia Ave, Columbia, MO 65212 Phone: 573-882-2663 Fax: 573-882-1760 | |
Tzu Chuan Yen, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1100 Virginia Ave, Columbia, MO 65201 Phone: 573-882-2663 |