Active NPI
Sungate Medical LLC
- Durable Medical Equipment & Medical Supplies
- Austin, TX
National Provider Identifier
1881649895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0073906
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152618802 | Medicaid | TX | |
| 152618801 | Medicaid | TX | |
| 531259 | Other | TX | BCBS |
| 200079810A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
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.