Sunshine Specialty Clinic, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21710 Issued in TN

Legal business name

SUNSHINE SPECIALTY CLINIC, PLLC

Practice address

194 Cleveland St
Crossville, TN 38555-4853

Phone

(931) 484-9538

Fax

(931) 484-4831

NPI assigned

Apr 11, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Kathy Bowers

Title

Practice Manager/Owner

Phone

(931) 484-9538

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Marketa Kasalova, M.D.

  • Internal Medicine Physician
  • Hazelwood, MO
  • NPI 1922200617
  NPD (past)
• Vladimir A Lytchakov, MD

  • Internal Medicine Physician
  • Springfield, IL
  • NPI 1184617201
  NPD (past)
• Renata A Nowak, MD

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1922031293
  NPD (past)
• Richard D O'Donnell

  • Internal Medicine Physician
  • Maxwell AFB, AL
  • NPI 1992795470
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1790041051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 CLEVELAND ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554853",
            "telephone_number": "931-484-9538",
            "fax_number": "931-484-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 CLEVELAND ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554853",
            "telephone_number": "931-484-9538",
            "fax_number": "931-484-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE SPECIALTY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRACTICE MANAGER/OWNER",
        "authorized_official_telephone_number": "931-484-9538",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "21710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stubbs Medical Center, PLLC
• Patrick William Stull, D.C.
• Benjamin Ryan Summerlin, DC
• Summit Health Operations, LLC
• Summit Medical Group,PLLC (Bhavana Vora MD at Crossville, a division of Summit Medical Group)
• Susan N Pick (Plateau Orthopedics)
• Rebecca L Swafford, APN
• William Stacy Swafford, PA-C
• Synergy Medical Associates, PLLC
• Andrew Thomas Szaflarski, M.D.

• Family Medicine Physician in Crossville, TN
• Providers in Crossville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.