Provider Type Icon

SUNRISE UROLOGY PC NPI 1699795179


NPI Information

NPI: 1699795179
Provider Name: SUNRISE UROLOGY PC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 03D1057475

Address:
3303 S LINDSAY RD
STE 121
GILBERT, AZ
ZIP 85297
Phone: (480) 507-9600
Get Directions

SUNRISE UROLOGY PC is an urology in Gilbert, AZ. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. SUNRISE UROLOGY PC NPI is 1699795179. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3303 S LINDSAY RD
STE 121
GILBERT, AZ
ZIP 85297-503
Phone: (480) 507-9600
Fax: (480) 507-9610

The provider's authorized official is John C Lin .
The authorized official title is Principal and has the following contact phone number (480) 507-9600.

The CLIA number assigned to this NPI record is 03D1057475 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/20/2006 and was last updated on 11/17/2008.


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
1208800000XUrology31442ARIZONAYes

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
1H81520MEDICARE UPINARIZONA
2111431MEDICARE PINARIZONA
3778582MEDICAIDARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.