Sunset Family Practice ,LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUNSET FAMILY PRACTICE ,LLC

Practice address

1173 Sunset Blvd
West Columbia, SC 29169-6863

Phone

(803) 445-6349

Fax

(803) 794-4342

NPI assigned

Mar 31, 2014

Organization subpart

No

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

Authorized official

Name

John Smith, CREDENTIALING

Title

Credentialing Coordinator

Phone

(919) 342-6842

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1346668126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696863",
            "telephone_number": "803-445-6349",
            "fax_number": "803-794-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696863",
            "telephone_number": "803-445-6349",
            "fax_number": "803-794-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET FAMILY PRACTICE ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "919-342-6842",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Steven Suarez, MD
• Grant Joseph Sullivan, D.O.
• Michael J Sullivan, MD
• Stacey Lynne Summerour
• Pamela Summers, RN
• Sunset Nursing Supply
• Sunset Periodontics, LLC
• Sunset Pharmacy Inc
• Sunset Primary Care
• Superkidz Pediatric Therapy, LLC

• Family Medicine Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.