| Tawana Cunningham, | |
|
38429 Lake Shore Blvd, Willoughby, OH 44094-7009 | |
| (440) 946-9200 | |
| (440) 946-1000 |
| Full Name | Tawana Cunningham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 38429 Lake Shore Blvd, Willoughby, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841674009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | COA.17643-NP (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.17643 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Urgent Care, Llc | 6800267360 | 3 |
| Entity Name | Erieside Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891751657 PECOS PAC ID: 8325099716 Enrollment ID: O20050202000910 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Andrew Brobbey, M.d., Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831214774 PECOS PAC ID: 1951408566 Enrollment ID: O20070516000209 |
| Entity Name | University Hospitals Ahuja Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609189604 PECOS PAC ID: 5496935538 Enrollment ID: O20120424000026 |
| Entity Name | University Hospitals Cleveland Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043747454 PECOS PAC ID: 3274431879 Enrollment ID: O20170728000888 |
| Entity Name | Premier Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750044079 PECOS PAC ID: 6800267360 Enrollment ID: O20230119001220 |
| Mailing Address | Practice Location Address |
|---|---|
| Tawana Cunningham, 38429 Lake Shore Blvd, Willoughby, OH 44094-7009 Ph: (440) 946-9200 | Tawana Cunningham, 38429 Lake Shore Blvd, Willoughby, OH 44094-7009 Ph: (440) 946-9200 |
Samantha C Cole, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6005 Som Center Rd, Willoughby, OH 44094 Phone: 866-389-2727 | |
Robert William Jonath, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Avenue, Willoughby, OH 44094 Phone: 440-953-9600 | |
Kimberly Vanik, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35717 Euclid Ave, Willoughby, OH 44094 Phone: 440-449-1540 | |
Ashley King, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Arbor Dr, Willoughby, OH 44094 Phone: 440-339-0218 | |
Shanon Lee Mekesa Ellis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6005 Som Center Rd, Willoughby, OH 44094 Phone: 440-946-7252 | |
Alexandria Uher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35717 Euclid Ave, Willoughby, OH 44094 Phone: 440-449-1540 | |
Jaquina Ross, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35900 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-3000 |