KENNETH P SUN (NPI# 1881693109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881693109 |
| Entity Type | Individual |
| Full Name | KENNETH P SUN |
| Credential | M.D. |
| Practice Address |
382 Epps St Box 266 Wind Gap PA 18091-9717 |
| Mailing Address |
382 Epps St Po Box 266 Wind Gap PA 18091-9717 |
| Practice Telephone | 6108638598 |
| Practice Fax Number | 6108630267 |
| Mailing Telephone | 6108638598 |
| Mailing Fax Number | 6108630267 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/20/2006 |
| NPI Reactivation Date | 2006-03-27 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD056132L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
382 EPPS ST BOX 266 |
| City | WIND GAP |
| State | PA |
| Zip Code | 18091-9717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831265222 | Progressive Pain Solutions LLC | Physical Medicine & Rehabilitation | 382 Epps St, Wind Gap, PA 18091 | 2006-11-28 |
| 1417915588 | Chigozie L Ibe | Physician Assistant | 382 Epps St, Wind Gap, PA 18091-9717 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306332473 | Life Change Health P.C. | Family Medicine | 497 Bushkill Plaza Ln Ste B, Wind Gap, PA 18091 | 2018-07-02 |
| 1922105428 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 855 S Broadway, Wind Gap, PA 18091 | 2006-09-19 |
| 1770678229 | Mark Wright Powell | Family Medicine | 487 E. Moorestown Rd, #101, Wind Gap, PA 18091-0386 | 2006-10-03 |
| 1669520714 | James Michael Dillon | Pharmacist | 855 N Broadway, Wind Gap, PA 18091-1116 | 2007-01-08 |
| 1215382585 | Zachary Savercool | Specialist/Technologist | 275 E Center St, Wind Gap, PA 18091-1223 | 2016-04-25 |
| 1598815466 | Wind Gap Ambulance Corps Inc | Ambulance | 547 E West St, Wind Gap, PA 18091-1255 | 2007-01-11 |
| 1730135583 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 525 E West St, Kidney Treatment Center of Slatebelt - Ckd Services, Wind Gap, PA 18091-1255 | 2006-05-25 |
| 1811165160 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 525 E West St, Ckd Services of Slatebelt, Wind Gap, PA 18091-1255 | 2008-02-20 |
| 1902901291 | Bio-medical Applications of Pennsylvania Inc | Clinic/Center | 525 E West St, Wind Gap, PA 18091-1255 | 2006-09-13 |
| 1639203938 | Diana M Giovagnoli | Social Worker | 122 N Broadway, Wind Gap, PA 18091-1274 | 2007-03-16 |
| Find all providers in zip 18091 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629630504 | Bac Medical, Pllc | Anesthesiology | 3070 Bristol Pike # 2-130, Bensalem, PA 19020-5364 | 2019-07-01 |
| 1285294983 | Thomas Falasca | Anesthesiology | 411 Sybil Dr, Erie, PA 16505-2152 | 2019-06-17 |
| 1144711235 | Amy L. Croushore | Anesthesiology | 5750 Centre Ave Ste 400, Pittsburgh, PA 15206-3761 | 2018-05-23 |
| 1023521598 | Michaela R Lewis | Anesthesiology | 333 State St Ste 104, Erie, PA 16507-1463 | 2017-11-07 |
| 1457704652 | Guthrie Medical Group, P.C. | Anesthesiology | 37 Pratt Avenue, Towanda, PA 18848 | 2016-07-22 |
| 1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
| 1457786253 | Lighthouse Medical, LLC | Anesthesiology | 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 | 2013-09-11 |
| 1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
| 1528407392 | Soon Yong Jung | Anesthesiology | 1240 S Cedar Crest Blvd Ste 307, Allentown, PA 18103-6263 | 2013-06-14 |
| 1316381155 | Beacon Medical, LLC | Anesthesiology | 136 Jaycee Dr, Suite 10, Johnstown, PA 15904-3650 | 2013-04-23 |
| Find all providers with the same taxonomy | ||||
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| 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.