Sun Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

N/A

Legal business name

SUN MEDICAL

Practice address

1880 N 725 W
Bargersville, IN 46106-9002

Phone

(317) 422-8185

Fax

(317) 422-4722

NPI assigned

Nov 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael W Potter

Title

Owner

Phone

(317) 422-8185

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1104807262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 N 725 W",
            "city": "BARGERSVILLE",
            "state": "IN",
            "postal_code": "461069002",
            "telephone_number": "317-422-8185",
            "fax_number": "317-422-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N 725 W",
            "city": "BARGERSVILLE",
            "state": "IN",
            "postal_code": "461069002",
            "telephone_number": "317-422-8185",
            "fax_number": "317-422-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-422-8185",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200160630A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Navneet Kaur Saran, FNP
• Ronnecia Smith
• Tiffani Chanel Speller, MSA
• Autumn Stepanek
• Debra Lynn Stephens, NURSE PRACTITIONER
• Rex Alan Thorne
• Moxi Trivedi
• Mercedez Urban, RBT
• Jan Vander Luitgaren, RN
• Joshua Wheat, PHARMD

• Durable Medical Equipment & Medical Supplies in Bargersville, IN
• Providers in Bargersville, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.