DR. JOHN ALVAR SUNDIN (NPI# 1083725782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083725782 |
| Entity Type | Individual |
| Full Name | DR. JOHN ALVAR SUNDIN |
| Credential | M.D. |
| Practice Address |
200 Hospital Ave Suite 5 Jefferson NC 28640-9244 |
| Practice Telephone | 3368468939 |
| Practice Fax Number | 3368468370 |
| Mailing Telephone | 3368468939 |
| Mailing Fax Number | 3368468370 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 200601912 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC | 144U3 | 01 |
| NC | TRICARE | 208394325 | 01 |
| NC | PARTNERS MC | 809370 | 01 |
| NC | MEDCOST | 56162 | 01 |
| NC | 5906217 | 05 | |
| NC | CIGNA HEALTHCARE | 7698911 | 01 |
| Street Address |
200 HOSPITAL AVE SUITE 5 |
| City | JEFFERSON |
| State | NC |
| Zip Code | 28640-9244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770576704 | Deborah Lynne Siders | Nurse Anesthetist, Certified Registered | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2005-08-24 |
| 1932752763 | Dustin Paul Absher | Physical Therapist | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2019-07-21 |
| 1780248369 | Brian Branton Ulrich | Physical Therapist | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2019-04-29 |
| 1376053512 | Ashe Financial Services, LLC | Orthopaedic Surgery | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2017-10-02 |
| 1477080497 | South Atlantic Anesthesia Solutions | Anesthesiology | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2017-05-22 |
| 1295193340 | Ashe Financial Services, LLC | Family Medicine | 200 Hospital Ave, Suite 3, Jefferson, NC 28640-9244 | 2016-02-04 |
| 1376909481 | Sarah Moss Mcneil | Nurse Anesthetist, Certified Registered | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2016-01-05 |
| 1487022372 | Kathleen Miller | Nurse Practitioner | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2015-09-09 |
| 1720495336 | Jefferson Emergency Services, Pllc | Emergency Medicine | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2014-07-15 |
| 1952739450 | Novant Medical Group Inc | Internal Medicine | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2013-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1902466543 | Emily Claire Wilson | Physical Therapist | 419 East Main Street Unit 4, Jefferson, NC 28640 | 2019-06-17 |
| 1457824393 | Miranda Lyalls Jordan | Nurse Practitioner | 310 Hospital Ave, Jefferson, NC 28640 | 2019-01-03 |
| 1659859247 | Molly Reynolds | Physical Therapist | 419 E. Main St. Unit 4, Jefferson, NC 28640 | 2018-08-06 |
| 1548644040 | Amanda Stroud | Dentist | 225 Court Street, Jefferson, NC 28640 | 2015-07-14 |
| 1710388772 | Schuster Physical Therapy Inc. | Clinic/Center | 419 E. Main St., Jefferson, NC 28640 | 2014-09-09 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1093029498 | Robin Arlene Edwards | Nurse Practitioner | 151 Medical Park Dr., Jefferson, NC 28640 | 2010-07-28 |
| 1659516979 | Patricia Ann Franklin | Physical Therapist | 125 Colvard Farm Rd, Unit 7, Jefferson, NC 28640 | 2008-12-16 |
| 1730363342 | Ashe County Public Schools | Local Education Agency (LEA) | 320 South Street, Jefferson, NC 28640 | 2007-12-19 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487120846 | Malora Sharay Oglesby | Surgery | 472 Conductor Ct, Jefferson, GA 30549-3242 | 2018-10-23 |
| 1730236076 | John Popovic | Surgery | 2821 State Route 46 N, Jefferson, OH 44047-8151 | 2007-01-05 |
| 1710973516 | Tammy L Thore | Surgery | 200 Hospital Ave Ste 5, Jefferson, NC 28640-9244 | 2005-09-27 |
| 1346683356 | Jonathan Edward Schoen | Surgery | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2013-04-09 |
| 1730225392 | Charles W Jones Md Pa | Surgery | 200 Hospital Ave Ste 5, Jefferson, NC 28640-9244 | 2007-01-30 |
| 1326035056 | Charles Wade Jones | Surgery | 200 Hospital Ave, Suite 5, Jefferson, NC 28640-9244 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723531 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy Ste 320, Matthews, NC 28105-2389 | 2020-09-02 |
| 1639701980 | Orthopaedic Surgery Center of Panther Creek LLC | Surgery | 6715 Mccrimmon Pkwy Ste 100, Cary, NC 27519-1916 | 2020-02-05 |
| 1922645571 | Novant Medical Group, Inc. | Surgery | 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 | 2019-12-03 |
| 1790335180 | Shihao Lao | Surgery | 2301 Erwin Rd # Dumc2837, Durham, NC 27705-4699 | 2019-09-17 |
| 1336795137 | Novant Medical Group, Inc. | Surgery | 3515 W Market St Ste 310, Greensboro, NC 27403-4438 | 2019-08-16 |
| 1548721046 | Aman Kumar | Surgery | Unc Hospitals Department of Surgery, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-03-27 |
| 1164980546 | Moses Cone Physician Services, Inc. | Surgery | 1041 Kirkpatrick Rd Ste 150, Burlington, NC 27215-8068 | 2019-03-05 |
| 1154806271 | The Cosmetic Concierge, Pllc | Surgery | 325 Arlington Ave Unit B, Charlotte, NC 28203-4574 | 2018-09-25 |
| 1386128601 | Venkateswara Rao Gurram | Surgery | 5075 Winster Dr Apt 202, Winston Salem, NC 27106-2988 | 2018-09-21 |
| 1376022533 | Shawn Thomas Colwell | Surgery | 411 Dogwood Ln, Wilmington, NC 28409-5805 | 2018-08-08 |
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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.