NPIMap

Organization Active NPI

Sun Health Medical Group, LLC

Doing business as Sun Health Pain Management Center

  • Pain Medicine Physician
  • Sun City, AZ
National Provider Identifier
1912177478
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
SUN HEALTH MEDICAL GROUP, LLC
Doing business as
Sun Health Pain Management Center
Practice address
13203 N 103Rd Ave
Suite H5
Sun City, AZ 85351-3028
Phone
(623) 875-6570
Fax
(623) 972-0049
NPI assigned
Mar 11, 2008
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SUN HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
William T Sellner
Title
Cfo
Phone
(623) 876-6616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU
Pain Medicine Physician 208VP0000X NU Primary

Addresses

Primary practice location

13203 N 103Rd Ave
Suite H5
Sun City, AZ 85351-3028

Mailing address

PO Box 1278
Attn: Mindy Ogden
Sun City, AZ 85372-1278
Phone (623) 544-5075

Other names 1

  • Sun Health Pain Management Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sun Health Medical Group LLC11 organizations share this tax ID, including this one
Part of
Sun Health Boswell Rehab Center

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1912177478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1278",
            "address_2": "ATTN: MINDY OGDEN",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853721278",
            "telephone_number": "623-544-5075",
            "fax_number": "623-544-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 N 103RD AVE",
            "address_2": "SUITE H5",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513028",
            "telephone_number": "623-875-6570",
            "fax_number": "623-972-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUN HEALTH CORPORATION",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "SELLNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "623-876-6616"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Health Pain Management Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.