Individual provider Active NPI

Manhua C Sun, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Winter Haven, FL
National Provider Identifier
1689636276
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME96693 Issued in FL
Practice address
200 Avenue F NE
Dept. of Pathology
Winter Haven, FL 33881-4131
Phone
(863) 293-1121
Fax
(863) 291-6071
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME96693 FL Primary

Addresses

Primary practice location

200 Avenue F NE
Dept. of Pathology
Winter Haven, FL 33881-4131

Mailing address

PO Box 144333
Orlando, FL 32814-4333
Phone (407) 422-9831

Other identifiers 1

IdentifierTypeStateIssuer
000223200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220223000085 TX Practitioner - Pathology 9739285511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Pathology Program PLLCGroup PAC ID 3476956194, 38 clinicians

Practice addresses (Care Compare)

500 W Medical Ctr Blvd
Webster, TX 77598-4220
Phone (281) 338-3208

Hospital & facility affiliations

  • HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology CurrentSince Feb 14, 2022 Accepting new patients
Westwater Diagnostics PLLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

1313 Hermann Dr
Ste 2
Houston, TX 77004

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1689636276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144333",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328144333",
            "telephone_number": "407-422-9831",
            "fax_number": "407-648-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE F NE",
            "address_2": "DEPT. OF PATHOLOGY",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814131",
            "telephone_number": "863-293-1121",
            "fax_number": "863-291-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "MANHUA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME96693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000223200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.