Sunny Internal Medicine and Pediatrics, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

31741 Issued in AZ

Legal business name

SUNNY INTERNAL MEDICINE AND PEDIATRICS, PLLC

Practice address

3400 N Dysart Rd Ste G127
Avondale, AZ 85392-1003

Phone

(623) 882-0077

Fax

(623) 882-9977

NPI assigned

Nov 12, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Maitra, M. D.

Title

Physician

Phone

(623) 882-0077

Specialties & licenses 4

Addresses

Locations

Practitioners 2

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

• Julie Jaclyn Browne, PA-C, RD

  • Medical Physician Assistant
  • Goodyear, AZ
  • NPI 1730419060
  NPD (past)
• Amy Elizabeth Miceli, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1073894374
  NPD (past)

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1376723916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 N DYSART RD",
            "address_2": "SUITE G-127",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921003",
            "telephone_number": "623-882-0077",
            "fax_number": "623-882-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N DYSART RD STE G127",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921003",
            "telephone_number": "623-882-0077",
            "fax_number": "623-882-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY INTERNAL MEDICINE AND PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "MAITRA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "623-882-0077",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "31741",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "31810",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "31741",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "31810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Rush Sumpter, DO
• Sun Valley Family Practice
• Sun Valley Medical Group
• Sun Valley Pediatric Dentistry, PLLC
• Sunbridge Healthcare LLC
• Sunnyside Assisted Living LLC
• Nicole Surdyka, DPT
• Surgical Elite of Avondale, LLC
• Richard Alexander Swartz, DC
• Riley Frederick Sweetland

• Internal Medicine Physician in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.