Organization Active NPI

Karen J Sundby MD, PC

  • Dermatology Physician
  • Denver, CO
National Provider Identifier
1306028246
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
41658 Issued in CO
Legal business name
KAREN J SUNDBY MD, PC
Practice address
4700 Hale Parkway
Suite 140
Denver, CO 80220-4050
Phone
(303) 388-8807
Fax
(303) 962-0315
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Dr. Karen Joy Sundby, MD, PCNPI 1912977083
Title
Physician Owner
Phone
(303) 388-8807

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 41658 CO Primary

Addresses

Primary practice location

4700 Hale Parkway
Suite 140
Denver, CO 80220-4050

Mailing address

4700 Hale Parkway
Suite 140
Denver, CO 80220-4050
Phone (303) 388-8807

Other identifiers 1

IdentifierTypeStateIssuer
C805167OtherCOMEDICARE GROUP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060412000321 CO Part B Supplier - Clinic/Group Practice 2466461819 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1306028246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 HALE PARKWAY",
            "address_2": "SUITE 140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204050",
            "telephone_number": "303-388-8807",
            "fax_number": "303-962-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 HALE PARKWAY",
            "address_2": "SUITE 140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204050",
            "telephone_number": "303-388-8807",
            "fax_number": "303-962-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN J SUNDBY MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "SUNDBY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "303-388-8807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PC"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CO",
            "license": "41658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "C805167",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.