Henry William Sundermier, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C40984 Issued in CA

Practice address

2370 E Bidwell St
Ste 100
Folsom, CA 95630-3892

Phone

(916) 735-6070

Fax

(916) 983-8591

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

Yes

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 CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1083653232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 E BIDWELL ST",
            "address_2": "STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-735-6070",
            "fax_number": "916-983-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 E BIDWELL ST",
            "address_2": "STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303892",
            "telephone_number": "916-735-6070",
            "fax_number": "916-983-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDERMIER",
        "first_name": "HENRY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C40984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C409840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Viki Catherine Sullivan, F.N.P
• Kenneth T. Sumida, MD
• Summit Dental Practice
• Summit Naturopathic Inc.
• Summit Oaks Home Health Services LLC
• Shannon T Suo, M.D.
• Kristia Ann Suutala, PT
• SW Therapy & Rehab Inc.
• Angela Swarthout, PSY.D.
• Sweet Mind, a Psychiatric Nursing Corporation

• Family Medicine Physician in Folsom, CA
• Providers in Folsom, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.