Sundance Medical Services, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUNDANCE MEDICAL SERVICES, INC

Practice address

7500 Rialto Blvd Ste 1-140
Austin, TX 78735-8534

Phone

(512) 730-3060

Fax

(888) 730-1925

NPI assigned

Jun 19, 2019

Last updated

Dec 19, 2019By 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

Michael Gonzales

Title

Ceo

Phone

(512) 730-3056

Specialties & licenses 4

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1295395499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 RIALTO BLVD STE 1-140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358534",
            "telephone_number": "512-730-3060",
            "fax_number": "888-730-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 RIALTO BLVD STE 1-140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358534",
            "telephone_number": "512-730-3060",
            "fax_number": "888-730-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-730-3056"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "physicianservices@hnihc.com",
            "affiliation": "N",
            "address_1": "7500 Rialto Blvd Ste 1-140",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787358534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Kennedy Sun, MD
• Melissa Sun
• Suncrest Hospice Austin LLC (Suncrest Hospice)
• Sundance Physician Services, Inc
• Megana Sundar, DO
• Varun Sundaram, MD
• Shiyamali Sundararajan
• Madhu Sundarrajan

• Internal Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.