Active NPI
Paul K Sunderland, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Centralia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- MD00042524
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8410466 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, GA, AL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCSoutheastern Emergency Physicians LLC
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
- Vanderbilt Clarksville Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.13 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Tennessee Ed, PLLC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| App of Alabama Ed PLLC | Emergency Medicine | Current | Accepting new patients |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Crestwood HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Inphynet Primary Care Physicians Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Gadsden HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Tift Regional Health System Inc. | Current | Accepting new patients | |
| Sunnyside Emergency Group a Professional LLC | Emergency Medicine | Current | Accepting new patients |
| Houston County Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Central Georgia Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Houston County Emergency Group, LLC | Emergency Medicine | Current | 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 | Past | 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
- 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.
-
- Emergency Medicine Physician
- Sunnyside, WA
- NPI 1033529367
Emergency Medicine, WA
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
Emergency Medicine, TN
-
- Emergency Medicine Physician
- Russellville, AL
- NPI 1659646040
AL, Emergency Medicine
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
Emergency Medicine, TN
-
- Emergency Medicine Physician
- Macon, GA
- NPI 1598126641
Emergency Medicine, GA
-
- Emergency Medicine Physician
- Huntsville, AL
- NPI 1548940497
AL, Emergency Medicine
-
- Emergency Medicine Physician
- Gadsden, AL
- NPI 1750061610
AL, Emergency Medicine
-
- Emergency Medicine Physician
- Warner Robins, GA
- NPI 1013338193
Emergency Medicine, GA
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1770521460
Emergency Medicine, GA
-
- Emergency Medicine Physician
- Perry, GA
- NPI 1467873547
Emergency Medicine
-
- Ophthalmology Physician
- Tifton, GA
- NPI 1790280857
-
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sunnyside, WA
- NPI 1225033814
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.