Organization Active NPI

Sunny Meadow Medical Clinic PC

  • Family Medicine Physician
  • Norfolk, NE
National Provider Identifier
1508388562
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUNNY MEADOW MEDICAL CLINIC PC
Practice address
305 N 37TH St
Norfolk, NE 68701-3275
Phone
(402) 370-4100
Fax
(402) 370-4101
NPI assigned
Jul 12, 2017
Organization subpart
Yes
Parent organization
SUNNY MEADOW MEDICAL CLINIC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
James Galyen, MDNPI 1225070568
Title
Owner
Phone
(402) 370-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

305 N 37TH St
Norfolk, NE 68701-3275

Mailing address

305 N 37TH St
Norfolk, NE 68701-3275
Phone (402) 370-4100

National Provider Directory

National Provider Directory
Part of
Sunny Meadow Medical Clinic PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508388562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 37TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013275",
            "telephone_number": "402-370-4100",
            "fax_number": "402-370-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 37TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013275",
            "telephone_number": "402-370-4100",
            "fax_number": "402-370-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY MEADOW MEDICAL CLINIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNNY MEADOW MEDICAL CLINIC PC",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GALYEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-370-4100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.