Sun Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SUN DERMATOLOGY LLC

Practice address

2101 Jenks Ave
Panama City, FL 32405-4511

Phone

(334) 791-5423

NPI assigned

Jun 23, 2016

Organization subpart

No

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

Authorized official

Name

Leonard Terry Pynes, MD

Title

Authorized Member

Phone

(334) 791-5423

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, AL2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Whitley Mikayla Bryant, FNP

  • Family Nurse Practitioner
  • Youngstown, FL
  • NPI 1417737305
  Medicare reassignment Care Compare group NPD
• Kimberly Mills Gore

  • Nurse Practitioner
  • Panama City Beach, FL
  • NPI 1326656471
  Medicare reassignment Care Compare group NPD
• Jeremy Alexander Sunseri, M.D.

  • MOHS-Micrographic Surgery Physician
  • Panama City, FL
  • NPI 1831400100

  AL

  Medicare reassignment Care Compare group NPD
• Hal Curtis Cowen, D.C

  • Chiropractor
  • Panama City, FL
  • NPI 1336178938
  NPD

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1407207111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054511",
            "telephone_number": "334-791-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054511",
            "telephone_number": "334-791-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "PYNES",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "334-791-5423",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Brooke Sullivan, PA-C
• Joann D Sullivan, P.T.
• Scott G Sullivan, PA
• Melisa Diane Summers, APRN
• Marsha Lynn Sumner, APRN
• Suncoast Open MRI LLC
• Sunil Gupta MD LLC
• Sunrise Endodontics PLLC
• Jeremy Alexander Sunseri, M.D.
• Sunstone Massage and Wellness LLC

• Dermatology Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.