Pei Sun MD.LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

037546 Issued in CT

Legal business name

PEI SUN MD.LLC

Practice address

850 N Main Street Ext
Building1,A3
Wallingford, CT 06492-2400

Phone

(203) 269-4353

Fax

(203) 269-4606

NPI assigned

Mar 4, 2010

Last updated

Apr 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pei Fang Sun, MDNPI 1225171754

Title

Owner

Phone

(203) 269-4353

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pei Fang Sun, MD

  • Internal Medicine Physician
  • Wallingford, CT
  • NPI 1225171754
  Medicare reassignment Care Compare group NPD Authorized official
• Yidi Ge, MD

  • Internal Medicine Physician
  • Wallingford, CT
  • NPI 1417489253
  Medicare reassignment Care Compare group NPD
• Francesca Alyssa Michel, APRN

  • Family Nurse Practitioner
  • Wallingford, CT
  • NPI 1871326140
  Medicare reassignment Care Compare group NPD
• Christopher Sullivan, APRN

  • Family Nurse Practitioner
  • Wallingford, CT
  • NPI 1598297665
  Medicare reassignment Care Compare group NPD
• Daniel P Tuohey, PA-C

  • Physician Assistant
  • Farmington, CT
  • NPI 1437565553
  Medicare reassignment

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1831412899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N MAIN STREET EXT",
            "address_2": "BUILDING1,A3",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922400",
            "telephone_number": "203-269-4353",
            "fax_number": "203-269-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N MAIN STREET EXT",
            "address_2": "BUILDING1,A3",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922400",
            "telephone_number": "203-269-4353",
            "fax_number": "203-269-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEI SUN MD.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "PEI",
        "authorized_official_middle_name": "FANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-269-4353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "037546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie W Peckingham, PT
• Jamie Lynn Pedersen, RPT
• Lia Lucia Pedersen
• Pediatric & Family Center Or Natural Medicine
• Pediatric Medicine of Wallingford LLP
• Lindsay Pellerin, DPT
• Matthew Brian Pendleton, MED., ATC
• Kimberly Pepice, LPC
• Timothy Scott Pepin, D.C.
• Kristin B Perkins, LPN

• Primary Care Clinic/Center in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Primary Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.