STEPHANIE L SULLENDER


Address: 3500 W Purdue Ave, Muncie, IN 47304-6357
Phone: 7657476090

STEPHANIE L SULLENDER (NPI# 1437787066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437787066
Entity Type Individual
Full Name STEPHANIE L SULLENDER
Credential PA
Practice Address 3500 W Purdue Ave
Muncie
IN 47304-6357
Mailing Address 13504 State Route 725
Germantown
OH 45327-9766
Practice Telephone 7657476090
Practice Fax Number 7657475069
Mailing Telephone 9375723068
Enumeration Date 2020-03-30
Last Update Date 2020-08-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 10003029A IN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
13504 State Route 725, Germantown, OH 453279766 9375723068
830 Sim Hodgin Pkwy, Richmond, IN 473741931 7657476090 7657475069

Office Location

Street Address 3500 W PURDUE AVE
City MUNCIE
State IN
Zip Code 47304-6357

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811901184 Alexander Zemtsov Dermatology 3500 W Purdue Ave, Muncie, IN 47304-6357 2006-07-29
1558878702 Brandy Jo Smith Physician Assistant 3500 W Purdue Ave, Muncie, IN 47304-6357 2018-01-09
1235228917 Preswinda Cornejo Freeman Nurse Practitioner 3500 W Purdue Ave, Muncie, IN 47304-6357 2006-10-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821627191 Free To Flourish Counseling and Consulting Marriage & Family Therapist 4304 W Coyote Run Court, Muncie, IN 47304 2020-04-07
1205477957 Muncie Treatment Center, LLC Clinic/Center 3640 Briarwood Lane, Muncie, IN 47304 2019-10-03
1508415225 Susanna Florence Nalliah I Pharmacist Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 2019-09-05
1235624289 Kregg Koons O.d., Inc. Optometrist 3300 Purdue Ave., Muncie, IN 47304 2018-06-22
1013409242 Julia Powers Social Worker 8425 W Ashford Ln, Muncie, IN 47304 2018-06-04
1851803456 Dianna Marie Johnson Nurse Practitioner 3411 N Briarwood Ln, Muncie, IN 47304 2017-11-04
1780082917 Quad Med LLC Clinic/Center 3800 West Kilgore Ave, Muncie, IN 47304 2014-12-22
1629418173 Mark Allen Wise Physical Therapist 3607 N Everbrook Lane, Muncie, IN 47304 2013-06-28
1396094280 Planned Parenthood of Indiana Muncie Clinic/Center 3550 W. Fox Ridge Lane, Muncie, IN 47304 2012-09-06
1043595655 Olukayode Bamidele Physical Therapist 3601 W. Moore Road, Muncie, IN 47304 2011-10-14
Find all providers in zip 47304

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487698072 Gennady P Chernyak Physician Assistant 1808 West Royale Drive, Dermatology Clinic of Muncie, Inc., Muncie, IN 47304-2243 2006-06-15
1861031593 Lauren Stavroff Physician Assistant 4008 W Bethel Ave, Muncie, IN 47304-5442 2019-12-28
1972086437 Richard B Shore II Physician Assistant 2401 W University Ave, Muncie, IN 47303-3428 2018-09-11
1376064972 Stephanie N Murdock Physician Assistant 2401 W University Ave, Muncie, IN 47303-3428 2017-07-05
1801347299 Joseph Richichi Physician Assistant 3600 W Bethel Ave, Muncie, IN 47304-5407 2016-10-20
1366992653 Robert S Lynch Physician Assistant 2401 W University Ave, Muncie, IN 47303-3428 2016-10-11
1114476611 Karissa Carpenter Physician Assistant 3600 W Bethel Ave, Muncie, IN 47304-5407 2016-09-25
1295101079 Brittani Sizelove Physician Assistant 3600 W Bethel Ave, Muncie, IN 47304-5407 2015-08-17
1407283781 Shc Medical Partners of Indiana, LLC Physician Assistant 4301 N Walnut St, Muncie, IN 47303-1190 2013-10-02
1942579321 Whitney Ann Crider Physician Assistant 3631 N Morrison Rd, Muncie, IN 47304-5547 2011-12-14
Find all providers in MUNCIE

Competitor

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City MUNCIE
Zip Code 47304

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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