CMM Sundaram MD SC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

21941 Issued in WI

Legal business name

CMM SUNDARAM MD SC

Practice address

2600 N Mayfair Rd
Suite 670
Wauwatosa, WI 53226-1309

Phone

(414) 933-9851

NPI assigned

Sep 3, 2008

Last updated

Sep 3, 2008By 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

Dr. CMM Sundaram, MD

Title

President

Phone

(414) 933-9851

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• David Chua, M.D.

  • Gastroenterology Physician
  • Las Vegas, NV
  • NPI 1881712347
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1336397322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD",
            "address_2": "SUITE 670",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261309",
            "telephone_number": "414-933-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD",
            "address_2": "SUITE 670",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261309",
            "telephone_number": "414-933-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMM SUNDARAM MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "SUNDARAM",
        "authorized_official_first_name": "CMM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-933-9851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "21941",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "21941",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WI",
            "license": "21941",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30317000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00146365",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clement J. Zablocki VA Medical Center
• Richard M. Clifford, M.D.
• Clinical Pain Consultants, S.C.
• Clinicare Corporation - Milwaukee Academy
• Frances Clouse, PHARMD
• Sue Anne Cochrane, LCSW
• Melissa Katherine Cody, ACNP-BC
• Ashley Colebourne
• Anthony Joseph Coletta, DDS
• Graham Kempthorne Collings, APSW

• Gastroenterology Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Gastroenterology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.