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POLLA SUE CUNNINGHAM M.D. NPI 1831260256


NPI Information

NPI: 1831260256
Provider Name: POLLA SUE CUNNINGHAM, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Organization: FLAT TOP INPATIENT SERVICES LLC

PECOS Registration: Yes

Address:
1005 MAR WALT DRIVE
ADMINISTRATION
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 863-8100
Get Directions

Polla Sue Cunningham, M.D. is an internal medicine in Fort Walton Beach, FL with 23 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Polla Sue Cunningham, M.D. NPI is 1831260256. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

1005 MAR WALT DRIVE
ADMINISTRATION
FORT WALTON BEACH, FL
ZIP 32547-796
Phone: (850) 863-8100
Fax: (850) 862-2303

The NPI 1831260256 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 5/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineME94647FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I05857MEDICARE UPINARIZONA
2278157300MEDICAIDFLORIDA
37773615OTHERFLORIDAAETNA
4101581MEDICAIDALABAMA
541131OTHERFLORIDABCBS
6AE118YMEDICARE PINFLORIDA
780664MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.