Active NPI
Alan B Sundheimer, MD
- Internal Medicine Physician
- Sylvania, OH
National Provider Identifier
1275533093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35040004
- Practice address
- 5700 Monroe St Unit 207
Sylvania, OH 43560-2735 - Phone
- (419) 843-8150
- Fax
- (419) 479-2579
- NPI assigned
- Jul 22, 2005
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35040004 | OH | Primary |
Addresses
Primary practice location
5700 Monroe St Unit 207
Sylvania, OH 43560-2735
Mailing address
5700 Monroe St Unit 207
Sylvania, OH 43560-2735
Phone (419) 843-8150
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-03323 | Other | OH | UHC |
| 110176017 | Other | OH | RRMC |
| 0637700 | Other | OH | AETNA |
| 0101357 | Medicaid | OH | |
| 000000141271 | Other | OH | ANTHEM |
| 02039 | Other | OH | PARAMOUNT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35040004 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1275533093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 MONROE ST UNIT 207",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602735",
"telephone_number": "419-843-8150",
"fax_number": "419-479-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 MONROE ST UNIT 207",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602735",
"telephone_number": "419-843-8150",
"fax_number": "419-479-2579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDHEIMER",
"first_name": "ALAN",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35040004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "04-03323",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "110176017",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0637700",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0101357",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000141271",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "02039",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, OH
- Beth A Sturt, PTA
- Melanie Ann Stutzenstein, OTR/L
- Makenna Suever, CDCA
- Kristoffer Bradley Sugg, MD, PHD
- Maureen Marie Sullivan
- Sunset Retirement Communities, Inc (Sunset Village)
- Sunset Retirement Communities, Inc (Sunset Village)
- Joyce Sutton, LSW, M.ED.
- Megan Svabik, MA, LPC
- Amy Jeannine Switala, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.