NPIMap

Organization Active NPI

Sunshine Pediatric Partners PLLC

  • Pediatrics Physician
  • Saginaw, MI
National Provider Identifier
1205425584
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SUNSHINE PEDIATRIC PARTNERS PLLC
Practice address
4798 Wenmar Dr
Saginaw, MI 48604-2843
Phone
(989) 793-1202
Fax
(989) 793-7649
NPI assigned
Jan 12, 2021
Last updated
Sep 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Yvonne Pacquing, MDNPI 1215032644
Title
Owner
Phone
(989) 793-1202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

4798 Wenmar Dr
Saginaw, MI 48604-2843

Mailing address

4798 Wenmar Dr
Saginaw, MI 48604-2843
Phone (989) 793-1202

Other practice location 1

4855 Berl Dr
Saginaw, MI 48604-2832
Phone (989) 793-1202

National Provider Directory

National Provider Directory

Locations

4684 Wenmar Dr
Saginaw, MI 48604
Phone (989) 793-1095

Interoperability endpoints

  • Direct secure messaging: juliamazur@sppllc.allscriptsdirect.net
  • Direct secure messaging: melissamcnier@sppllc.allscriptsdirect.net
  • Direct secure messaging: yvonnepacquing@sppllc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1205425584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4798 WENMAR DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042843",
            "telephone_number": "989-793-1202",
            "fax_number": "989-793-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4798 WENMAR DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042843",
            "telephone_number": "989-793-1202",
            "fax_number": "989-793-7649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4855 Berl Dr",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486042832",
            "country_code": "US",
            "telephone_number": "989-793-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNSHINE PEDIATRIC PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "PACQUING",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-793-1202",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.