Active NPI
Steven J Sunderland, MD
- Diagnostic Radiology Physician
- Kennewick, WA
National Provider Identifier
1194839068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00046724
- Practice address
- 7221 W Deschutes Ave
Suite a
Kennewick, WA 99336-7807 - Phone
- (509) 374-4030
- Fax
- (509) 374-4030
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD00046724 | WA | Primary |
Addresses
Primary practice location
7221 W Deschutes Ave
Suite a
Kennewick, WA 99336-7807
Mailing address
7221 W Deschutes Ave
Suite a
Kennewick, WA 99336-7807
Phone (509) 374-4030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7823107 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00046724 | WA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1194839068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7221 W DESCHUTES AVE",
"address_2": "SUITE A",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367807",
"telephone_number": "509-374-4030",
"fax_number": "509-374-8690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7221 W DESCHUTES AVE",
"address_2": "SUITE A",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367807",
"telephone_number": "509-374-4030",
"fax_number": "509-374-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDERLAND",
"first_name": "STEVEN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00046724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7823107",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.