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SUNRISE PEDIATRIC ASSOCIATES PA NPI 1245245034


NPI Information

NPI: 1245245034
Provider Name: SUNRISE PEDIATRIC ASSOCIATES PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D0974398

Address:
3909 SUNSET RIDGE RD
SUITE 103
RALEIGH, NC
ZIP 27607
Phone: (919) 788-0505
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SUNRISE PEDIATRIC ASSOCIATES PA is a pediatrics in Raleigh, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SUNRISE PEDIATRIC ASSOCIATES PA NPI is 1245245034. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3909 SUNSET RIDGE RD
SUITE 103
RALEIGH, NC
ZIP 27607-667
Phone: (919) 788-0505
Fax: (919) 788-0519

The provider's authorized official is Mary Beth Murnane .
The authorized official title is Doctor and has the following contact phone number (919) 788-0505.

The CLIA number assigned to this NPI record is 34D0974398 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/30/2006 and was last updated on 5/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1011FCOTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
289011FCMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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