NPIMap

Organization Active NPI

Sun Health Medical Group, LLC

  • Surgery Physician
  • Sun City, AZ
National Provider Identifier
1386814846
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SUN HEALTH MEDICAL GROUP, LLC
Practice address
13188 N 103Rd Dr
Suite 206
Sun City, AZ 85351-3064
Phone
(623) 974-7854
Fax
(623) 933-3045
NPI assigned
Mar 11, 2008
Organization subpart
Yes
Parent organization
SUN HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Paul R Brosor
Title
Vice President
Phone
(623) 544-5079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

13188 N 103Rd Dr
Suite 206
Sun City, AZ 85351-3064

Mailing address

PO Box 1278
Attn: Mindy Ogden
Sun City, AZ 85372-1278
Phone (623) 544-5075

Other names 1

  • Sun Health Surgical Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sun Health Medical Group LLC11 organizations share this tax ID, including this one
Part of
Horizon Medical Center

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1386814846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1278",
            "address_2": "ATTN: MINDY OGDEN",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853721278",
            "telephone_number": "623-544-5075",
            "fax_number": "623-544-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13188 N 103RD DR",
            "address_2": "SUITE 206",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513064",
            "telephone_number": "623-974-7854",
            "fax_number": "623-933-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUN HEALTH CORPORATION",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "BROSOR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "623-544-5079"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Health Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.