NPIMap

Organization Active NPI

Thomas J Sultenfuss MD PA

  • Procedural Dermatology Physician
  • Dunedin, FL
National Provider Identifier
1629281472
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
ME34798 Issued in FL
Legal business name
THOMAS J SULTENFUSS MD PA
Practice address
1022 Main St Ste R
Dunedin, FL 34698-5225
Phone
(727) 734-6710
Fax
(727) 734-6712
NPI assigned
May 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Joesph Sultenfuss, M.D.
Title
President
Phone
(727) 734-6710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X ME34798 FL Primary

Addresses

Primary practice location

1022 Main St Ste R
Dunedin, FL 34698-5225

Mailing address

1022 Main St Ste R
Dunedin, FL 34698-5225
Phone (727) 734-6710

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629281472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 MAIN ST STE R",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985225",
            "telephone_number": "727-734-6710",
            "fax_number": "727-734-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 MAIN ST STE R",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985225",
            "telephone_number": "727-734-6710",
            "fax_number": "727-734-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J SULTENFUSS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULTENFUSS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOESPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-734-6710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME34798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.