DR. PETER JOSEPH SUNENSHINE MD, NPI 1487610937 — PHOENIX (AZ)

NPI 1487610937

13+ Years Experience Individual

DR. PETER JOSEPH SUNENSHINE MD

04/25/2006
PROVIDER ENUMERATION DATE
11.02.2015
LAST UPDATE DATE
1487610937
NPI NUMBER

About DR. PETER JOSEPH SUNENSHINE

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

DR. PETER JOSEPH SUNENSHINE is a provider established in PHOENIX, AZ. The NPI number of DR. PETER JOSEPH SUNENSHINE is 1487610937 and was assigned on 04/25/2006. The practitioners primary taxonomy code is: 2085R0202X with license number: ME110568 FL .

Mailing address

  • City: PHOENIX
  • State: AZ
  • Postal code: 850062612
  • Phone: 6028395097
  • Address: 1111 E MCDOWELL RD
  • Address 2: BANNER UNIV MED CTR - PHOENIX, DEPARTMENT OF RADIOLOGY

Primary Practice Address

  • Region : PHOENIX, AZ
  • NPI : 1487610937
  • Phone : 6028395097
  • Postalcode : 850062612
  • Address : 1111 E MCDOWELL RD BANNER UNIV MED CTR - PHOENIX, DEPARTMENT OF RADIOLOGY

Additional identifiers

  • Identifier: 143564
  • Code / Type : 5 - MEDICAID
  • Identifier state : AZ

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Additional identifiers # 2

  • Identifier: 3855100
  • Code / Type : 5 - MEDICAID
  • Identifier state : FL

Provider taxonomy - Radiology

  • Taxonomy code: 2085R0202X
  • License number: ME110568
  • License state: FL

The taxonomy is not the primary taxonomy.

Taxonomy description: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Healthcare provider taxonomy #2 - Radiology

  • Taxonomy code: 2085R0204X
  • License number: ME110568
  • License state: FL

The taxonomy is not the primary taxonomy.

Taxonomy description: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Contacts:

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  • DR. PETER JOSEPH SUNENSHINE MD
  • Address : 1111 E MCDOWELL RD BANNER UNIV MED CTR - PHOENIX, DEPARTMENT OF RADIOLOGY
  • Region : PHOENIX, AZ
  • NPI : 1487610937
  • Phone : 6028395097
  • Postalcode : 850062612

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1111 E MCDOWELL RD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressBANNER UNIV MED CTR - PHOENIX, DEPARTMENT OF RADIOLOGY
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NamePHOENIX
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameAZ
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code850062612
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number6028395097
The telephone number associated with the location address of the provider being identified.
NPI1487610937
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 12085R0202X
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Provider Enumeration Date04/25/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated11.02.2015
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. PETER JOSEPH SUNENSHINE
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1111 E MCDOWELL RD
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressBANNER UNIV MED CTR - PHOENIX, DEPARTMENT OF RADIOLOGY
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NamePHOENIX
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameAZ
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code850062612
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number6028395097
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #12085R0202X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Provider License Number 1ME110568
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1FL
Healthcare Provider Primary Taxonomy Switch 1N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code 22085R0204X
Healthcare Provider Taxonomy 2Radiology
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Provider License Number 2ME110568
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 2FL
Healthcare Provider Primary Taxonomy Switch 2N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 1143564
Other Provider Identifier #1
Other Provider Identifier Type 15
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1AZ
Other Provider Identifier State #1
Other Provider Identifier 23855100
Other Provider Identifier #2
Other Provider Identifier Type 25
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 2FL
Other Provider Identifier State #2
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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