Sundene Internal Medicine, PLLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

SUNDENE INTERNAL MEDICINE, PLLC

Practice address

1200 W Albany St
Broken Arrow, OK 74012-8146

Phone

(918) 957-3000

NPI assigned

Jan 3, 2022

Organization subpart

No

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

Authorized official

Name

Kristy Sundene, MDNPI 1124084470

Title

Physician

Phone

(918) 361-8698

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

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

• Kristy Lee Sundene, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1124084470
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1942961883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740370157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W ALBANY ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128146",
            "telephone_number": "918-957-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDENE INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "SUNDENE",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-361-8698",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher James Sullivan, PHARMD
• Julie Gail Sullivan, M.D.
• Rhonda S Sullivan, RN, ANCLC
• Karen Jean Sumpter, MS, CCC-SLP
• Amber Sund
• Sunshine Smiles PLLC
• Suretrip Transit LLC
• Susan B. Young DO PLC
• Gregory Michael Sutmiller, LPC, LADC
• Latasha Roshawn Suttle, LPTA

• Hospitalist Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Hospitalist Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.