Sun Medical Service Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8518 Issued in NV

Legal business name

SUN MEDICAL SERVICE CORP

Practice address

2621 W Horizon Ridge Pkwy
Suite 150
Henderson, NV 89052-2895

Phone

(702) 837-6368

Fax

(702) 837-0685

NPI assigned

Jul 31, 2006

Last updated

Apr 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wen Liang, M.D.NPI 1023092020

Title

President

Phone

(702) 837-6368

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Wen Liang, M.D.

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1023092020
  Medicare reassignment NPD Authorized official
• Samuel Cheol Yu, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1497148126
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1659387066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522895",
            "telephone_number": "702-837-6368",
            "fax_number": "702-837-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522895",
            "telephone_number": "702-837-6368",
            "fax_number": "702-837-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN MEDICAL SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "WEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-837-6368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "CC1181",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather T Sullivan
• Kristina Sanchez Sullivan
• Mitriece Sumbry
• Summit Family Counseling, LLC
• Stephaine Ezone Summons
• Allen Sung, D.O
• Sunil Kalla, M.D., Inc. PC (Nevada Cardiology Institute)
• Sunrise Chiropractic
• Sunrise Dental Henderson LLC
• Sunrise Hospital and Medical Center, LLC (ER at Boulder's Edge)

• Internal Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.