Sunlight Medical Clinic PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2015-01360 Issued in NC

Legal business name

SUNLIGHT MEDICAL CLINIC PLLC

Practice address

1099 Medical Center Dr
Suite 100-a
Wilmington, NC 28401-7346

Phone

(910) 228-5894

Fax

(910) 228-5897

NPI assigned

Jan 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Michael Chukwuma Odibo, M.DNPI 1144496191

Title

Owner/Ceo

Phone

(910) 228-5894

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Chukwuma Odibo, M.D.

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1144496191
  NPD (past) Authorized official

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1063958890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 MEDICAL CENTER DR",
            "address_2": "SUITE 100-A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017346",
            "telephone_number": "910-228-5894",
            "fax_number": "910-228-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MEDICAL CENTER DR",
            "address_2": "SUITE 100-A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017346",
            "telephone_number": "910-228-5894",
            "fax_number": "910-228-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLIGHT MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "ODIBO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHUKWUMA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "910-228-5894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "2015-01360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.