SUN CITIES MEDICAL GROUP (NPI# 1982907291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982907291 |
| Entity Type | Organization |
| Organization Name | SUN CITIES MEDICAL GROUP |
| Practice Address |
10222 W Coggins Dr Sun City AZ 85351-3407 |
| Practice Telephone | 6238159733 |
| Practice Fax Number | 6238159755 |
| Mailing Telephone | 6238159733 |
| Mailing Fax Number | 6238159755 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |
| Authorized Official Name | AMARDEEP SODHI (PRESIDENT) |
| Authorized Official Telephone | 6238159733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4739 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10222 W COGGINS DR |
| City | SUN CITY |
| State | AZ |
| Zip Code | 85351-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104001734 | Angie K Huxley | Internal Medicine | 10222 W Coggins Dr, Sun City, AZ 85351-3407 | 2008-01-02 |
| 1508233693 | Youthful Living LLC | Internal Medicine | 10222 W Coggins Dr, Sun City, AZ 85351-3407 | 2015-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003566 | T&h Hearing LLC | Hearing Aid Equipment | 13616 N. 99th Ave., Sun City, AZ 85351 | 2019-09-20 |
| 1881247682 | Amanda M Neri | Physician Assistant | 10401 W. Thunderbird Blvd Md Anderson - Banner Boswell, Sun City, AZ 85351 | 2019-07-20 |
| 1649822313 | Azmed Rehab LLC | Family Medicine | 14281 North Del Webb Blvd, Sun City, AZ 85351 | 2019-07-12 |
| 1982182267 | Akdhc, LLC | Internal Medicine | 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 | 2018-07-30 |
| 1871084814 | Amy Mikulec | Physical Therapist | Banner Physical Therapy and Rehab Boswell, 10503 W Thunderbird Blvd Suite 263a, Sun City, AZ 85351 | 2018-05-25 |
| 1194238345 | Lorie Jo Matthews | Nurse Practitioner | 10494 W Thunderbird Blvd Ste 102, Sun City, AZ 85351 | 2017-11-09 |
| 1184153363 | Susan Jane Hockman | Registered Nurse | 14601 N Delwebb Blvd, Sun City, AZ 85351 | 2017-06-09 |
| 1043769169 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 13203 N 103rd Ave Ste J1&j2, Sun City, AZ 85351 | 2016-09-30 |
| 1033563002 | Vittoria Giovannucci | Technician/Technologist | 10503 W Thunderbird Blvd Ste 101a, Sun City, AZ 85351 | 2016-04-15 |
| 1669858379 | Qui Nguyen | Pharmacist | 10660 Nw Grand Ave, Sun City, AZ 85351 | 2015-08-04 |
| Find all providers in zip 85351 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700054335 | Christina Lorraine Wooldridge | Physician Assistant | 10494 W Thunderbird Boulevard, Suite 102, Sun City, AZ 85351-6122 | 2008-02-17 |
| 1730230814 | Larry P Fisher | Physician Assistant | 17021 N Joshua Tree Ct, Sun City, AZ 85373-1816 | 2007-01-15 |
| 1720482912 | Philip Jordan Ristvedt | Physician Assistant | 10503 W Thunderbird Blvd, Ste 262, Sun City, AZ 85351-3048 | 2014-10-16 |
| 1609203611 | Robert William Wagie | Physician Assistant | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2013-10-04 |
| 1699026435 | David Lepley | Physician Assistant | 10249 W Thunderbird Blvd Ste 300, Sun City, AZ 85351-3113 | 2012-09-19 |
| 1376820266 | Traci Lee Dyer | Physician Assistant | 29798 Haun Rd Ste 108, Sun City, CA 92586-6541 | 2011-11-07 |
| 1447536180 | Terrie Lyn Pasch | Physician Assistant | 13203 N 103rd Ave Ste H5, Sun City, AZ 85351-3032 | 2011-10-26 |
| 1902116965 | Mara Lee Hall | Physician Assistant | 10503 W Thunderbird Blvd, Ste 262, Sun City, AZ 85351-3048 | 2010-10-08 |
| 1740388370 | Elena Nicola | Physician Assistant | 29798 Haun Rd, Suite 104, Sun City, CA 92586-6541 | 2006-09-20 |
| 1346263316 | Ruben Ramirez | Physician Assistant | 10494 W Thunderbird Blvd, Sun City, AZ 85351-3058 | 2006-07-25 |
| Find all providers in SUN CITY | ||||
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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.