Individual provider Active NPI

Thomas D Sunnenberg, MD

  • Hematology & Oncology Physician
  • Pensacola, FL
National Provider Identifier
1225023641
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0035969 Issued in FL
Practice address
1545 Airport Blvd
Suite 2000
Pensacola, FL 32504-8615
Phone
(850) 416-6933
Fax
(850) 416-6934
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0035969 FL Primary

Addresses

Primary practice location

1545 Airport Blvd
Suite 2000
Pensacola, FL 32504-8615

Mailing address

1545 Airport Blvd
Suite 2000
Pensacola, FL 32504-8615
Phone (850) 416-6933

Other identifiers 1

IdentifierTypeStateIssuer
066486300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0035969FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Current Accepting new patients

Locations

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

5153 N 9th Ave
Ste 404
Pensacola, FL 32504
Phone (850) 416-2554

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1225023641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 AIRPORT BLVD",
            "address_2": "SUITE 2000",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048615",
            "telephone_number": "850-416-6933",
            "fax_number": "850-416-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 AIRPORT BLVD",
            "address_2": "SUITE 2000",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048615",
            "telephone_number": "850-416-6933",
            "fax_number": "850-416-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNNENBERG",
        "first_name": "THOMAS",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "0035969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066486300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.