NPIMap

Organization Active NPI

Sunny Meadow Medical Clinic PC

  • Family Medicine Physician
  • Norfolk, NE
National Provider Identifier
1255619003
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22610 Issued in NE
Legal business name
SUNNY MEADOW MEDICAL CLINIC PC
Practice address
305 N 37TH St
Norfolk, NE 68701-3275
Phone
(402) 370-4100
Fax
(402) 370-4101
NPI assigned
Jul 27, 2011
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Dr. James Galyen, M.D.NPI 1225070568
Title
Owner
Phone
(402) 370-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22610 NE Primary

Addresses

Primary practice location

305 N 37TH St
Norfolk, NE 68701-3275

Mailing address

305 N 37TH St
Norfolk, NE 68701-3275
Phone (402) 370-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110916000285 NE Part B Supplier - Clinic/Group Practice 9830360122 Receives reassigned benefits from 10 practitioners
Practice locations: Norfolk, NE

National Provider Directory

National Provider Directory

Locations

1410 N 13th St
Ste 600
Norfolk, NE 68701

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19135/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1255619003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 37TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013275",
            "telephone_number": "402-370-4100",
            "fax_number": "402-370-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 37TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013275",
            "telephone_number": "402-370-4100",
            "fax_number": "402-370-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY MEADOW MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "GALYEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-370-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.