Organization Active NPI

Sun Wellness, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Sun City, AZ
National Provider Identifier
1982143756
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Nina M Shah, D.O.NPI 1598908980
Title
Owner/Member Manager
Phone
(480) 812-5828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 6226 AZ Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 6226 AZ

Addresses

Primary practice location

10192 W Coggins Dr
Sun City, AZ 85351-3405

Mailing address

6449 E Gainsborough Rd
Scottsdale, AZ 85251-1950
Phone (480) 812-5828

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

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 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.