Christopher Ryan Cunningham, MD | |
801 Broadway N, Fargo, ND 58102-3641 | |
(701) 234-2000 | |
Not Available |
Full Name | Christopher Ryan Cunningham |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 801 Broadway N, Fargo, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346732781 | NPI | - | NPPES |
2018017656 | Other | MO | MO LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0900X | Dermatology - Dermatopathology | PT19688 (North Dakota) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2018017656 (Missouri) | Primary |
Entity Name | Sanford Clinic North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
Entity Name | Sanford Medical Center Fargo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
Mailing Address | Practice Location Address |
---|---|
Christopher Ryan Cunningham, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419 | Christopher Ryan Cunningham, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-2000 |
Mr. Zhanyong Bing, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Roland Lass, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-239-3700 Fax: 701-237-2646 | |
Dr. John Joseph Evans, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 Fax: 701-234-2345 | |
Joshua Leclaire, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-239-3700 | |
Julie A Marsh, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2350 Fax: 701-234-7378 | |
Terrence E Grimm, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2401 Fax: 701-234-7378 | |
Dr. Hong Qi Peng, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2469 |