Sunstone Primary Care PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SUNSTONE PRIMARY CARE PC

Practice address

540 Catalina Dr
Ashland, OR 97520-1605

Phone

(541) 727-8972

Fax

(833) 638-0201

NPI assigned

Apr 7, 2021

Organization subpart

No

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

Authorized official

Name

Edward Clark Cullen, MDNPI 1447257308

Title

President

Phone

(541) 727-8972

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23449/brand/1/csg/1/fhir/r4

Practitioners 5

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

• Edward Clark Cullen, MD

  • Internal Medicine Physician
  • Medford, OR
  • NPI 1447257308
  Medicare reassignment Care Compare group Authorized official
• Elisabeth Ashley Sturm, DNP, FNP

  • Primary Care Nurse Practitioner
  • Ashland, OR
  • NPI 1942557780
  Medicare reassignment Care Compare group NPD
• Kimberly A. Zaslow, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Ashland, OR
  • NPI 1073510459
  Medicare reassignment Care Compare group NPD
• Angela H. Marcucilli, FNP

  • Family Nurse Practitioner
  • Ashland, OR
  • NPI 1942655931
  Medicare reassignment Care Compare group
• Kamara Marie Dodd, FNP

  • Family Nurse Practitioner
  • Ashland, OR
  • NPI 1114159068
  Medicare reassignment NPD

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1841879509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CATALINA DR",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201605",
            "telephone_number": "541-727-8972",
            "fax_number": "833-638-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 CATALINA DR",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201605",
            "telephone_number": "541-727-8972",
            "fax_number": "833-638-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSTONE PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-727-8972",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher R Sturdevant, PA-C
• Elisabeth Ashley Sturm, DNP, FNP
• Teena Summers, LMFT
• T Sundin, M.D.
• Sunshine Counseling and Wellness
• Susan C Joshua MD PC
• Laureen J Sutton, LMT
• Ruby Marlene Suvoy
• Suzanne L. Haveman, Crnfa, Inc.
• Gary Lee Swanson, M.D.

• Primary Care Clinic/Center in Ashland, OR
• Providers in Ashland, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.