Sunghwan Byun, D.P.M.
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Palmetto, FL
NPI 1780925792 · NPPES record last updated Feb 26, 2016
Key facts
- NPI
- 1780925792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- PO3788 (FL)
- Practice address
- 5600 Bayshore Rd
Palmetto, FL 34221-9352 - Phone
- (941) 721-2020
- Fax
- (941) 721-2027
- NPI assigned
- Mar 15, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160408001351 | FL | Practitioner - Podiatry | 8426278367 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO3788 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current |
Accepting new patients | |
| MCR Health, Inc. | Foot & Ankle Surgery | Current |
Accepting new patients |
Locations
5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020
700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3788 | FL | Yes |
Addresses
Primary practice location
5600 Bayshore Rd
Palmetto, FL 34221-9352
Mailing address
PO Box 997
Palmetto, FL 34220-0997
Phone (941) 776-4000
Other names
- Dr. Sung Byun
Other providers in Palmetto, FL
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- Michael D Burday
- Sharon Sue Burgett
- Busy Life Nutrition LLC
- Andrea Jenise Caines
- Bradee Campbell
- Can Community Health, Inc.
- Leticia Llaurador Cardoso
- Shirley Carley
All providers in Palmetto, FL · Foot & Ankle Surgery Podiatrist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.