Organization Active NPI

Sunrise Pediatric Associates PA

  • Pediatrics Physician
  • Raleigh, NC
National Provider Identifier
1245245034
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SUNRISE PEDIATRIC ASSOCIATES PA
Practice address
3909 Sunset Ridge Rd
Suite 103
Raleigh, NC 27607-6667
Phone
(919) 788-0505
Fax
(919) 788-0519
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Mary Beth Murnane, MD
Title
Doctor
Phone
(919) 788-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3909 Sunset Ridge Rd
Suite 103
Raleigh, NC 27607-6667

Mailing address

3909 Sunset Ridge Rd
Suite 103
Raleigh, NC 27607-6667
Phone (919) 788-0505

Other identifiers 2

IdentifierTypeStateIssuer
011FCOtherNCBLUE CROSS BLUE SHIELD
89011FCMedicaidNC

National Provider Directory

National Provider Directory

Locations

3909 Sunset Ridge Rd
Ste 103
Raleigh, NC 27607
Phone (919) 544-4747

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1245245034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 SUNSET RIDGE RD",
            "address_2": "SUITE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076667",
            "telephone_number": "919-788-0505",
            "fax_number": "919-788-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 SUNSET RIDGE RD",
            "address_2": "SUITE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076667",
            "telephone_number": "919-788-0505",
            "fax_number": "919-788-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PEDIATRIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "MURNANE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "919-788-0505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "011FC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011FC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.