Sun Rise Agency LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

SUN RISE AGENCY LLC

Practice address

3301 E Main St Ste 2
Columbus, OH 43213-2740

Phone

(614) 772-3106

NPI assigned

Jul 15, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Alpha Tongor

Title

Shareholder

Phone

(614) 772-3106

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1336556000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 E MAIN ST STE 2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E MAIN ST STE 2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132740",
            "telephone_number": "614-772-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN RISE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "TONGOR",
        "authorized_official_first_name": "ALPHA",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "614-772-3106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Columbus, OH
• Providers in Columbus, OH by specialty
• Preferred Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.