John a Sundin MD Endoscopy Unit

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

200601912 Issued in NC

Legal business name

JOHN A SUNDIN MD ENDOSCOPY UNIT

Doing business as

John A Sundin MD

Practice address

200 Hospital Ave
Suite 5
Jefferson, NC 28640-9244

Phone

(336) 846-8939

Fax

(336) 846-8370

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

John A Sundin, MDNPI 1083725782

Title

Owner

Phone

(336) 846-8939

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• John A Sundin MD Doing business as

Practitioners 1

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

• John Alvar Sundin, M.D.

  • Surgery Physician
  • Jefferson, NC
  • NPI 1083725782
  NPD (past) Authorized official

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1770728495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL AVE",
            "address_2": "SUITE 5",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409244",
            "telephone_number": "336-846-8939",
            "fax_number": "336-846-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL AVE",
            "address_2": "SUITE 5",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409244",
            "telephone_number": "336-846-8939",
            "fax_number": "336-846-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A SUNDIN MD ENDOSCOPY UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "SUNDIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-846-8939",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "200601912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "56162",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John A Sundin MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jefferson Care Center
• Jefferson Emergency Services, PLLC
• Jeffrey K. Baldwin (Baldwin Chiropractic Center)
• Jodi Province Counseling Services PLLC
• Joel W. Yates Jr. D.D.S. P.L.L.C
• Charles B Jones Jr., PA
• Charles Wade Jones, MD
• Robin Jones, RN
• Miranda Lyalls Jordan, FNP
• Jennifer Archer Keely, MA, LMFT, LCAS

• Ambulatory Surgical Clinic/Center in Jefferson, NC
• Providers in Jefferson, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.