PEI SUN MD.LLC (NPI# 1831412899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831412899 |
| Entity Type | Organization |
| Organization Name | PEI SUN MD.LLC |
| Practice Address |
850 N Main Street Ext Building1,a3 Wallingford CT 06492-2400 |
| Practice Telephone | 2032694353 |
| Practice Fax Number | 2032694606 |
| Mailing Telephone | 2032694353 |
| Mailing Fax Number | 2032694606 |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2011-04-04 |
| Authorized Official Name | DR. PEI FANG SUN (OWNER) |
| Authorized Official Telephone | 2032694353 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
037546 | CT | Ambulatory Health Care Facilities |
| Street Address |
850 N MAIN STREET EXT BUILDING1,A3 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903949 | Michael Clark | Family Medicine | 850 N Main Street Ext, Blgd 2 Suite C2, Wallingford, CT 06492-2400 | 2005-06-23 |
| 1467967752 | Monarch Therapeutic Services LLC | Clinic/Center | 850 N Main Street Ext, Wallingford, CT 06492-2400 | 2017-12-07 |
| 1528592581 | Confi Dental LLC | Dentist | 850 N Main Street Ext, Ste 1-a, Wallingford, CT 06492-2400 | 2017-04-17 |
| 1598297665 | Christopher Sullivan | Nurse Practitioner | 850 N Main Street Ext, Building 1, A3, Wallingford, CT 06492-2400 | 2017-03-29 |
| 1528434867 | Laura Berndt | Physical Therapist | 850 N Main Street Ext, Wallingford, CT 06492-2400 | 2015-08-20 |
| 1285813311 | Reza Moien Md Internal Medicine LLC | Internal Medicine | 850 N Main Street Ext, Building#1, Suite D2, Wallingford, CT 06492-2400 | 2007-10-25 |
| 1821284407 | Aspire Family Medicine &wellness Center, LLC | Family Medicine | 850 N Main Street Ext, Bldg 2 Suite C2, Wallingford, CT 06492-2400 | 2007-09-18 |
| 1568660314 | Patricia Kersulis Buckley | Acupuncturist | 850 N Main Street Ext, Bldg 2, Suite 3b, Wallingford, CT 06492-2400 | 2007-07-03 |
| 1740402726 | Edmund G. Hohmann Sr. | Dentist | 850 N Main Street Ext, Bldg. 2 Suite D3, Wallingford, CT 06492-2400 | 2007-05-02 |
| 1558406470 | Danielle M Forester | Naturopath | 850 N Main Street Ext, #3b, Wallingford, CT 06492-2400 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720051444 | Media Pediatrics | Clinic/Center | 401 Moore Rd, Wallingford, PA 19086-7049 | 2006-02-12 |
| 1679506950 | June E. Elcock-messam | Clinic/Center | 401 Moore Rd, Wallingford, PA 19086-7049 | 2006-07-09 |
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|---|---|---|---|---|
| 1306447578 | Luca Health & Wellness, LLC | Clinic/Center | 2475 Albany Ave Ste 205, West Hartford, CT 06117-2523 | 2020-11-04 |
| 1699307751 | Pride Comprehensive Primary Care LLC | Clinic/Center | 7 Warren Rd, Wolcott, CT 06716-3015 | 2020-02-06 |
| 1316405186 | Ct Optimal Wellness, LLC | Clinic/Center | 115 Technology Dr Unit A103, Trumbull, CT 06611-6338 | 2019-03-11 |
| 1922586809 | Emmaus Health LLC | Clinic/Center | 945 Main St Ste 205, Manchester, CT 06040-6064 | 2018-08-01 |
| 1841781382 | Clifford W. Beers Guidance Clinic Inc | Clinic/Center | 41 Marne St, Hamden, CT 06514 | 2018-05-21 |
| 1598284622 | Np Wellness Care | Clinic/Center | 253 Fairlawn Dr, Torrington, CT 06790-5809 | 2017-09-09 |
| 1245773191 | Anchor Health Initiative Corp. | Clinic/Center | 30 Myano Ln Ste 16, Stamford, CT 06902-4532 | 2016-11-27 |
| 1588114870 | Whole Self Wellness, LLC | Clinic/Center | 144 Banjo Sullivan Rd, Griswold, CT 06351-1201 | 2016-10-11 |
| 1265892541 | Amanda M Swan Aprn LLC | Clinic/Center | 33 Harmund Pl, Wethersfield, CT 06109-1209 | 2016-03-01 |
| 1215321666 | Grand Medical LLC | Clinic/Center | 515 Higgins Rd, Cheshire, CT 06410-3326 | 2015-03-24 |
| Find all providers with the same taxonomy | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
Please comment or provide details below to improve the information on PEI SUN MD.LLC.
| 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.