Chad Eric Sundquist, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TL398 Issued in WY

Practice address

1416 E a St
Suite 101
Casper, WY 82601-2276

Phone

(307) 577-8600

Fax

(307) 577-8605

NPI assigned

Oct 17, 2006

Last updated

Feb 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Self Medical GroupGroup PAC ID 6002953916, 393 clinicians

Self Regional Healthcare PartnersGroup PAC ID 1557606118, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071
• Edgefield County Healthcare an Affiliate of Self R Hospital, Edgefield, SC, CCN 421304

Merit-based Incentive Payment System (MIPS)

Final score

94.7 of 100Reported as apm

Quality

89.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chad.sundquist@direct.wyomingmedicalcenter.org
• Direct secure messaging: chadsundquist@cwu.allscriptsdirect.net
• Direct secure messaging: csundquist538235@selfregional.direct-ci.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Self Medical Group

  • Surgery Physician
  • Greenwood, SC
  • NPI 1982836847
  Medicare reassignment Care Compare group NPD
• Self Regional Healthcare Partners

  dba Edgefield County Healthcare, An Affiliate of Self Regional Healthcare

  • Critical Access Hospital
  • Edgefield, SC
  • NPI 1922582105
  Medicare reassignment Care Compare group
• Self Regional Healthcare

  dba Montgomery Center for Family Medicine of SRH

  • Family Medicine Physician
  • Greenwood, SC
  • NPI 1326067703
  Medicare reassignment
• Self Medical Group

  • Diagnostic Radiology Physician
  • Greenwood, SC
  • NPI 1659839694
  NPD
• Self Regional Healthcare

  dba Self Regional Neurology

  • Neurology Physician
  • Greenwood, SC
  • NPI 1285502559
  NPD
• Self Regional Healthcare

  dba Internal Medicine of the Piedmont

  • Internal Medicine Physician
  • Greenwood, SC
  • NPI 1558160804
  NPD
• Self Regional Healthcare Partners

  dba Edgefield Community Pharmacy

  • Community/Retail Pharmacy
  • Edgefield, SC
  • NPI 1073486494
  NPD
• Self Regional Healthcare Partners

  dba ECH Swing Bed, An Affiliate of Self Regional Healthcare

  • Medicare Defined Swing Bed Hospital Unit
  • Edgefield, SC
  • NPI 1780168971
  NPD
• Self Regional Healthcare

  dba Self Medical Center Newberry

  • Family Medicine Physician
  • Newberry, SC
  • NPI 1548068398
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Self Regional Healthcare

  dba Pain Management Greenwood

  • Pain Medicine (Anesthesiology) Physician
  • Greenwood, SC
  • NPI 1013867498

  Hospital

  Care Compare affiliation
• Self Regional Healthcare

  dba SRH - Inpatient Services

  • General Acute Care Hospital
  • Greenwood, SC
  • NPI 1023046612
  Care Compare affiliation
• Self Regional Healthcare

  dba SRH - Outpatient Services

  • General Acute Care Hospital
  • Greenwood, SC
  • NPI 1407887003
  Care Compare affiliation
• Self Regional Healthcare

  dba Pain Management Laurens

  • Pain Medicine (Anesthesiology) Physician
  • Clinton, SC
  • NPI 1720938103

  Hospital

  Care Compare affiliation
• Self Regional Healthcare Partners

  dba Edgefield County Healthcare, An Affiliate of Self Regional Healthcare

  • Critical Access Hospital
  • Edgefield, SC
  • NPI 1922582105
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1023199221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 E A ST",
            "address_2": "SUITE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012276",
            "telephone_number": "307-577-8600",
            "fax_number": "307-577-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 E A ST",
            "address_2": "SUITE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012276",
            "telephone_number": "307-577-8600",
            "fax_number": "307-577-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDQUIST",
        "first_name": "CHAD",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "TL398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00611278",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Medical Center, LLC (Summit Pain Clinic)
• Summit Memorial Medical Group LLC
• Summit Pathology
• Kelly Jeanne Sumner, DNP, FNP-C
• Sundance Anesthesia L.L.C.
• Sunshine Counseling LLC
• Malavika Suresh, MD, MB BCH BAO
• Surfin Smiles LLC
• Chae Auna Sutherland
• T Shaun Sutherland, DDS

• Physician Assistant in Casper, WY
• Providers in Casper, WY by specialty
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.