Organization Active NPI

Sunshine Healthcare, LLC

  • Occupational Medicine Physician
  • Creve Coeur, MO
National Provider Identifier
1043675309
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
SUNSHINE HEALTHCARE, LLC
Practice address
638 Office Parkway
Creve Coeur, MO 63141
Phone
(314) 736-1116
Fax
(314) 736-1198
NPI assigned
Dec 30, 2015
Last updated
Jun 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Dr. Shaping Sun, MD
Title
Owner
Phone
(314) 736-1116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

638 Office Parkway
Creve Coeur, MO 63141

Mailing address

15455 Manchester Road
Unit 213
Ballwin, MO 63022-0213
Phone (314) 736-1116

Other identifiers 2

IdentifierTypeStateIssuer
1043675309OtherMOBUSINESS NPI
1588704423OtherMOPERSONAL NPI

National Provider Directory

National Provider Directory

Locations

15455 Manchester Rd
Unit 213
Ballwin, MO 63022

638 Office Pkwy
Creve Coeur, MO 63141
Phone (314) 736-1116

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1043675309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 MANCHESTER ROAD",
            "address_2": "UNIT 213",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630220213",
            "telephone_number": "314-736-1116",
            "fax_number": "314-736-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 OFFICE PARKWAY",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-736-1116",
            "fax_number": "314-736-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "SHAPING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-736-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS NPI",
            "identifier": "1043675309",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1588704423",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.