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SUNSHINE PEDIATRICS OF NC PLLC NPI 1992018873


NPI Information

NPI: 1992018873
Provider Name: SUNSHINE PEDIATRICS OF NC PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D2045126

Address:
514 OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 423-4233
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SUNSHINE PEDIATRICS OF NC PLLC is a pediatrics in Fayetteville, 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. SUNSHINE PEDIATRICS OF NC PLLC NPI is 1992018873. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

514 OWEN DR
FAYETTEVILLE, NC
ZIP 28304-432
Phone: (910) 423-4233
Fax: (910) 423-0513

The provider's authorized official is Ogiemwonyi Elekhuoba Asemota .
The authorized official title is Practice Owner/physician and has the following contact phone number (910) 484-4233.

The CLIA number assigned to this NPI record is 34D2045126 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2010 and was last updated on 11/3/2023.


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
1208000000XPediatrics9700454NORTH CAROLINANo
2208000000XPediatricsNORTH CAROLINANo
3208000000XPediatrics97-00454NORTH CAROLINAYes

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
15918692MEDICAIDNORTH 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: 4/28/2024

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