Individual provider Active NPI

Paul K Sunderland, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Centralia, WA
National Provider Identifier
1497782486
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
MD00042524 Issued in WA
Practice address
914 S Scheuber Rd
Centralia, WA 98531-9027
Phone
(360) 748-4444
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 071891 GA
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD00042524 WA Primary

Addresses

Primary practice location

914 S Scheuber Rd
Centralia, WA 98531-9027

Mailing address

3804 4TH Ave NW
Olympia, WA 98502-2646

Other identifiers 1

IdentifierTypeStateIssuer
8410466MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, GA, AL, TN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20041013000925 WA Practitioner - Emergency Medicine 8921068040 Reassigns benefits to 1 organization
I20140714001320 GA Practitioner - Emergency Medicine 8921068040 Reassigns benefits to 3 organizations
I20230428000480 AL Practitioner - Emergency Medicine 8921068040 Reassigns benefits to 3 organizations
I20230501001911 TN Practitioner - Emergency Medicine 8921068040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunnyside Emergency Group a Professional LLC 17 clinicians
Southeastern Emergency Physicians LLC 776 clinicians

Practice addresses (Care Compare)

1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone (509) 837-1707

7565 Dannaher Dr
Powell, TN 37849-4029
Phone (865) 859-8000

Hospital & facility affiliations

  • Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330
  • Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035

Merit-based Incentive Payment System (MIPS)

Final score
86.13 of 100Reported as group
Quality
85.82
Improvement activities
40
Cost
56.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Feb 15, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Mar 24, 2023 Accepting new patients
Tift Regional Health System Inc CurrentSince Dec 15, 2014 Accepting new patients
Crestwood HB Medical Services LLC Emergency Medicine CurrentSince Jan 17, 2024 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Gadsden HB Medical Services LLC Emergency Medicine CurrentSince Oct 8, 2023 Accepting new patients
Tift Regional Health System Inc. CurrentSince Dec 15, 2014 Accepting new patients
Sunnyside Emergency Group a Professional LLC Emergency Medicine CurrentSince Jun 12, 2014 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine Current Accepting new patients
Central Georgia Emergency Group, LLC Emergency Medicine CurrentSince Sep 13, 2016 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Apr 23, 2014 Accepting new patients
Lewis County Emergency Physicians Emergency Medicine Past Accepting new patients
Midpacific Hospitalists LLC Past Accepting new patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine PastSince Nov 1, 2012 Accepting new patients

Locations

2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1497782486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 4TH AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S SCHEUBER RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319027",
            "telephone_number": "360-748-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDERLAND",
        "first_name": "PAUL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "071891",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WA",
            "license": "MD00042524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8410466",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.