Active NPI
Sunrise Pediatric Associates PA
- Pediatrics Physician
- Raleigh, NC
National Provider Identifier
1245245034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011FC | Other | NC | BLUE CROSS BLUE SHIELD |
| 89011FC | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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
- Sunil Kashyap DDS, PLLC
- Nija Sunil, OD
- Sunnybrook Rehabilitation Center, LLC (Sunnybrook Rehabilitation Center)
- Sunray ABA LLC
- Sunrise Dental
- Sunrize Care Transportation LLC
- Sunshine Advantage of NC LLC
- Sunshine Pediatric and Adolescent Care
- Sunshine Pediatrics & Adolescent Care, P.a.
- Sierra M. Sunshine, MS, CCC-SLP
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.