Gwen Y Sun, MD

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

90-306 Issued in NM

Practice address

211 Hermosa Dr SE
Albuquerque, NM 87108-2611

Phone

(505) 232-0176

NPI assigned

Apr 2, 2008

Last updated

Apr 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1841462512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MARQUETTE PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064742",
            "telephone_number": "505-344-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HERMOSA DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082611",
            "telephone_number": "505-232-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "GWEN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "90-306",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NM",
            "license": "90-306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendell Weston Sumner, D.O.
• Sun & Moon Psychological Services LLC
• Sun Country Healthcare Network
• Chia Ling Sun
• Chun-Xiao Sun, DMD,MS,MSD,PHD
• Jerry Sun
• Yijuan Sun, MD
• Suncenter Medical Offices, LLC
• Sundance Technologies and Training Center, LLC (Sundance)
• Scott T Sunde, M.D.

• Occupational Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Occupational Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.