Organization Active NPI

Sun Enterprises Inc.

  • Psychiatry Physician
  • Ada, OK
National Provider Identifier
1982885802
Registry record updated May 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15587 Issued in OK
Legal business name
SUN ENTERPRISES INC.
Doing business as
Mid-West Health Associates
Practice address
800 Rolling Hills LN
Ada, OK 74820-9488
Phone
(580) 399-3067
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2010

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

Authorized official

Name
James Quinlan, MD
Title
President
Phone
(580) 399-3067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 15587 OK Primary

Addresses

Primary practice location

800 Rolling Hills LN
Ada, OK 74820-9488

Mailing address

800 Rolling Hills LN
Ada, OK 74820
Phone (580) 399-3067

Other identifiers 2

IdentifierTypeStateIssuer
100742520AMedicaidOK
100177170AMedicaidOK

Other names 1

  • Mid-West Health Associates Doing business as

National Provider Directory

National Provider Directory

Locations

800 Rolling Hills Ln
Ada, OK 74820
Phone (580) 310-0312

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273276800000",
    "number": "1982885802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROLLING HILLS LN",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "telephone_number": "580-399-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROLLING HILLS LN",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748209488",
            "telephone_number": "580-399-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2010-05-08",
        "status": "A",
        "authorized_official_last_name": "QUINLAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-399-3067",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "15587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100742520A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100177170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-West Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2010; 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.