Organization Active NPI

Sungate Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
National Provider Identifier
1881649895
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0073906 Issued in TX
Legal business name
SUNGATE MEDICAL LLC
Practice address
8711 Burnet Rd
Suite D-45
Austin, TX 78757-7043
Phone
(512) 459-7800
Fax
(512) 459-7885
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Mr. Gregory Butchko
Title
President
Phone
(512) 459-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0073906 TX Primary

Addresses

Primary practice location

8711 Burnet Rd
Suite D-45
Austin, TX 78757-7043

Mailing address

8711 Burnet Rd
Suite D-45
Austin, TX 78757-7043
Phone (512) 459-7800

Other identifiers 4

IdentifierTypeStateIssuer
152618802MedicaidTX
152618801MedicaidTX
531259OtherTXBCBS
200079810AMedicaidOK

National Provider Directory

National Provider Directory

Locations

8711 Burnet Rd
Ste D45
Austin, TX 78757
Phone (512) 459-7800

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1881649895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 BURNET RD",
            "address_2": "SUITE D-45",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577043",
            "telephone_number": "512-459-7800",
            "fax_number": "512-459-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 BURNET RD",
            "address_2": "SUITE D-45",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577043",
            "telephone_number": "512-459-7800",
            "fax_number": "512-459-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNGATE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "BUTCHKO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-459-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0073906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152618802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152618801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "531259",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200079810A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.