Provider Type Icon

SUNRISE HEALTHCARE LLC NPI 1487094223


NPI Information

NPI: 1487094223
Provider Name: SUNRISE HEALTHCARE, LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 15D2066089

Address:
1171 WEST TIPTON ST
SUITE E
SEYMOUR, IN
ZIP 47274
Phone: (812) 405-2125
Get Directions

SUNRISE HEALTHCARE, LLC is a pain medicine anesthesiology in Seymour, IN. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. SUNRISE HEALTHCARE, LLC NPI is 1487094223. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1171 WEST TIPTON ST
SUITE E
SEYMOUR, IN
ZIP 47274-793
Phone: (812) 405-2125
Fax: (812) 405-2425

The provider's authorized official is Diana Brackin .
The authorized official title is Manager and has the following contact phone number (812) 405-2125.

The CLIA number assigned to this NPI record is 15D2066089 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2013 and was last updated on 10/23/2013.


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
1363LA2200XNurse PractitionerAdult HealthNo
2363LF0000XNurse PractitionerFamilyNo
3207LP2900XAnesthesiologyPain MedicineYes

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
1IN1453MEDICARE PININDIANA

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: 5/5/2024

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.