Organization Active NPI

Sun Clinic, Inc.

  • Colon & Rectal Surgery Physician
  • Parker, CO
National Provider Identifier
1972552073
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
SUN CLINIC, INC.
Practice address
9397 Crown Crest Blvd.
Suite 201
Parker, CO 80138-8576
Phone
(303) 320-0699
Fax
(303) 320-0897
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Authorized official

Name
John H Sun, MD
Title
Owner
Phone
(303) 320-0699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

9397 Crown Crest Blvd.
Suite 201
Parker, CO 80138-8576

Mailing address

9397 Crown Crest Blvd.
Suite 201
Parker, CO 80138-8576
Phone (303) 320-0699

Other identifiers 1

IdentifierTypeStateIssuer
39276015MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1972552073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9397 CROWN CREST BLVD.",
            "address_2": "SUITE 201",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388576",
            "telephone_number": "303-320-0699",
            "fax_number": "303-320-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9397 CROWN CREST BLVD.",
            "address_2": "SUITE 201",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388576",
            "telephone_number": "303-320-0699",
            "fax_number": "303-320-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-320-0699",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39276015",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.