Cheryl N Sundlov, PA-C,MPH

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 9102138 Issued in FL

Practice address

12600 SW 120TH St
Suite 113
Miami, FL 33186-9066

Phone

(305) 971-1210

Fax

(305) 971-7710

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epiphany Dermatology PA

  • Dermatology Physician
  • Waco, TX
  • NPI 1043615263
  Medicare reassignment
• R Todd Plott MD PA

  dba Dermatology Alliance - Keller

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1134426794
  NPD
• Pennsylvania Dermatology Partners Inc

  • Dermatology Physician
  • West Lawn, PA
  • NPI 1023382918
  NPD (past)
• Steven R Weasen

  • Specialist
  • Philadelphia, PA
  • NPI 1215973821
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1205943099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 ORANGE ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334520",
            "telephone_number": "407-310-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 SW 120TH ST",
            "address_2": "SUITE 113",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331869066",
            "telephone_number": "305-971-1210",
            "fax_number": "305-971-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDLOV",
        "first_name": "CHERYL",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "PA-C,MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052242",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9102138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suncoast Medical Network 2, Inc
• Suncoast Medical Network Inc
• Suncoast Provider Network, Inc
• Sundari Foundation, Inc. (Lotus House Women's Shelter)
• Sundari Foundation, Inc. (Lotus House)
• Sunflower ABA Services Inc
• Sunflower Allied Corp.
• Sunflower Home Care Services, Inc.
• Sunflower Management Group Inc
• Sunflowers Village Alf Inc.

• Medical Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.