Active NPI
Mark Lee Sundy, NP-C
- Family Nurse Practitioner
- Midland, TX
National Provider Identifier
1932286754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 688208
- Practice address
- 3300 S FM 1788
Midland, TX 79706-2601 - Phone
- (432) 561-5915
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 688208 | TX | Primary |
Addresses
Primary practice location
3300 S FM 1788
Midland, TX 79706-2601
Mailing address
PO Box 1264
Stanton, TX 79782-1264
Phone (432) 271-2085
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 613399 | Other | MEDICARE PTAN | |
| 177173502 | Medicaid | TX | |
| 688208 | Other | TX | TEXAS LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permian Premier Health Services Inc | Past | Accepting new patients | |
| Ravi Medi | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Contractor
- Odessa, TX
- NPI 1285664763
-
- Psychiatry Physician
- Odessa, TX
- NPI 1235286535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1932286754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1264",
"city": "STANTON",
"state": "TX",
"postal_code": "797821264",
"telephone_number": "432-271-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 S FM 1788",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797062601",
"telephone_number": "432-561-5915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDY",
"first_name": "MARK",
"middle_name": "LEE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "688208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "613399",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177173502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS LICENSE NUMBER",
"identifier": "688208",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.