NPIMap

Organization Active NPI

Sun Health Medical Group LLC

  • Internal Medicine Physician
  • Wickenburg, AZ
National Provider Identifier
1689843872
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUN HEALTH MEDICAL GROUP LLC
Practice address
1395 W Wickenburg Way
Wickenburg, AZ 85390-4231
Phone
(623) 388-9957
Fax
(928) 684-7457
NPI assigned
Feb 21, 2008
Organization subpart
Yes
Parent organization
SUN HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Paul R Brosor
Title
Vice President, Physician Services
Phone
(623) 544-5079

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1395 W Wickenburg Way
Wickenburg, AZ 85390-4231

Mailing address

PO Box 1278
Attn: Mindy Ogden
Sun City, AZ 85372-1278
Phone (623) 544-5075

Other names 1

  • Sun Health Del E. Webb Health Center of Wickenburg Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sun Health Medical Group LLC11 organizations share this tax ID, including this one
Part of
Horizon Medical Center

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1689843872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1278",
            "address_2": "ATTN: MINDY OGDEN",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853721278",
            "telephone_number": "623-544-5075",
            "fax_number": "623-544-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 W WICKENBURG WAY",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853904231",
            "telephone_number": "623-388-9957",
            "fax_number": "928-684-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN HEALTH MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUN HEALTH CORPORATION",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "BROSOR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT, PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "623-544-5079"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Health Del E. Webb Health Center of Wickenburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wickenburg, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.