Sun Wellness, PLLC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

6226 Issued in AZ

Legal business name

SUN WELLNESS, PLLC

Practice address

10192 W Coggins Dr
Sun City, AZ 85351-3405

Phone

(480) 812-5828

Fax

(602) 840-1290

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Nina M Shah, D.O.

Title

Owner/Member Manager

Phone

(480) 812-5828

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1982143756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 E GAINSBOROUGH RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511950",
            "telephone_number": "480-812-5828",
            "fax_number": "602-840-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10192 W COGGINS DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513405",
            "telephone_number": "480-812-5828",
            "fax_number": "602-840-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MEMBER MANAGER",
        "authorized_official_telephone_number": "480-812-5828",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "6226",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "6226",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLLC REGISTRATION",
            "identifier": "P21587848",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sun Health Research Institute
• Sun Health Research Institute
• Sun Valley Internist LLC
• Sun Valley Internists LLC
• Sun Valley Lodge
• Sun West Dental Center, LLC
• Ann Marie Sun, MD
• Sunrise Medical Diagnostic, Inc
• Sunset Hospice Services, LLC
• Sunterra Oncology Associates LLC

• Critical Care Medicine (Internal Medicine) Physician in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Critical Care Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.