GEORGE SUN MD NPI 1053350173

NPI Information

  • NPI: 1053350173
  • Provider Name: GEORGE SUN, MD
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • Address: 430 N PLEASANT AVE
    CENTRALIA, IL
    ZIP 62801
  • Phone: (618) 436-8350

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NPI Details

George Sun, MD is a gynecology obstetrics gynecology in Centralia, IL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee George Sun, MD NPI is 1053350173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

430 N PLEASANT AVE
CENTRALIA, IL
ZIP 62801-006
Phone: (618) 436-8350
Fax: (618) 532-9347

The enumeration date for this NPI number is 6/5/2006 and was last updated on 11/27/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecologyILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C45599MEDICARE UPINILLINOIS
2207988OTHERILLINOISGROUP
3CH4443OTHERILLINOISRR GROUP NUMBER
4P00180554OTHERILLINOISRR MEDICARE NUMBER
5K13161MEDICARE PINILLINOIS

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: 11/21/2025

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