Sunshine Pediatrics of Louisville LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUNSHINE PEDIATRICS OF LOUISVILLE LLC

Practice address

822 S Mayo TRL
Paintsville, KY 41240-1384

Phone

(606) 789-5541

Fax

(606) 789-9445

NPI assigned

Jun 8, 2015

Organization subpart

No

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

Authorized official

Name

Carla F Branch

Title

Billing Office Manager

Phone

(606) 789-5541

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Yassin Khattab, M.D.

  • Family Medicine Physician
  • Paintsville, KY
  • NPI 1376650317
  Medicare reassignment NPD

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437539145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 MASJID AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416538634",
            "telephone_number": "606-789-5541",
            "fax_number": "606-789-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S MAYO TRL",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401384",
            "telephone_number": "606-789-5541",
            "fax_number": "606-789-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PEDIATRICS OF LOUISVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "606-789-5541"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern ENT Associates, PSC
• Melissa Dawn Spears, BA
• Ashley Dawn Spriggs, APRN
• Dianna Sue Stevens, LPN
• Thomas B. Styer, M.D.
• Tammy D. Taylor, BSW
• Gary A Tener, R.PH.
• The Talmadge Group Inc
• Thomas Allen Smith, MD, PSC
• Traverse Behavioral Health Services LLC

• Family Medicine Physician in Paintsville, KY
• Providers in Paintsville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.