Sunrise Ma Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SUNRISE MA INC

Practice address

3009 N Ballas Rd Ste 259C
Saint Louis, MO 63131-2308

Phone

(618) 696-6938

NPI assigned

May 19, 2021

Last updated

May 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Makin Uddin Ahmed, MD

Title

Solo

Phone

(618) 696-6938

Specialties & licenses 1

Addresses

Other names 1

• Sunshine pediatrics Other name

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1144894486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 BRINSTON CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112903",
            "telephone_number": "618-696-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD STE 259C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312308",
            "telephone_number": "618-696-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MAKIN",
        "authorized_official_middle_name": "UDDIN",
        "authorized_official_title_or_position": "SOLO",
        "authorized_official_telephone_number": "618-696-6938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunshine Pediatrics",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sunshine pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pediatrics Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.