Sunrise Skin Cancer Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SUNRISE SKIN CANCER SURGERY CENTER, LLC

Practice address

70 Midtown Park E Ste a
Mobile, AL 36606-4140

Phone

(251) 544-6407

Fax

(251) 544-6411

NPI assigned

Mar 20, 2017

Last updated

Mar 18, 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

Sarah Wierszalowski, MSN, RN

Title

Administrator

Phone

(251) 544-6407

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Listed as

Sunrise Skin Cancer Surgery Center LLCCCN 01C0001060

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Jonathan A Cappel, MD

  • Procedural Dermatology Physician
  • Vestavia HLS, AL
  • NPI 1174819049
  Medicare reassignment NPD
• Scott Freeman, MD

  • MOHS-Micrographic Surgery Physician
  • Mobile, AL
  • NPI 1851447460
  Medicare reassignment NPD
• Christopher Barry Harmon, MD

  • MOHS-Micrographic Surgery Physician
  • Vestavia HLS, AL
  • NPI 1497791628
  Medicare reassignment NPD
• Brian James King, M.D.

  • MOHS-Micrographic Surgery Physician
  • Vestavia HLS, AL
  • NPI 1407274756
  Medicare reassignment NPD
• William Steadman Farmer, MD

  • Dermatology Physician
  • Knightdale, NC
  • NPI 1396242244

  AL

  Medicare reassignment NPD
• Seth Michael Martin

  • MOHS-Micrographic Surgery Physician
  • Olympia, WA
  • NPI 1801355862

  AL

  Medicare reassignment NPD
• John P Wuennenberg, MD

  • Dermatology Physician
  • Marquette, MI
  • NPI 1124554589

  AL

  Medicare reassignment NPD

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1225579485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MIDTOWN PARK E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MIDTOWN PARK E STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064140",
            "telephone_number": "251-544-6407",
            "fax_number": "251-544-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SKIN CANCER SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "WIERSZALOWSKI",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-544-6407",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunbelt Patient Solutions LLC (SOS Mobile Medical Care)
• Sunbelt Research Group, LLC
• Sunlife Wellness & Hydration, LLC
• Sunrise Dermatology
• Sunrise Dermatology LLC (Sunrise Dermatology)
• Superior Cab Service
• Superior Transport & Courier Services
• Surgeons of Mobile PC
• Surgical Association of Mobile,P.a.
• Surgical Equipment Resources, Inc

• Ambulatory Surgical Clinic/Center in Mobile, AL
• Providers in Mobile, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.