KEVIN SUN (NPI# 1093154635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093154635 |
| Entity Type | Individual |
| Full Name | KEVIN SUN |
| Credential | M.D. |
| Practice Address |
11109 Parkview Plaza Dr Fort Wayne IN 46845-1701 |
| Practice Telephone | 2602662020 |
| Practice Fax Number | 2602662009 |
| Mailing Telephone | 2602662020 |
| Mailing Fax Number | 2602662009 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01082653A | IN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
0101264998 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215486139 | Kevin Sun | Dentist | 49 Blue Horizon, Laguna Niguel, CA 92677 | 2016-10-04 |
| 1316460652 | Kevin Sun | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2017-07-19 |
| 1265726517 | Kevin Haonan Sun | Student in an Organized Health Care Education/Training Program | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2011-06-03 |
| Street Address |
11109 PARKVIEW PLAZA DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994163 | Ramabrahmam Gullapalli | Anesthesiology | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2005-07-01 |
| 1548868375 | Lindsey Stangland | Social Worker | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-10-14 |
| 1417563594 | Angela Morales | Registered Nurse | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-09-23 |
| 1649883687 | Rachel Capito | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-28 |
| 1407467004 | Ashley Logan | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-17 |
| 1417568247 | Curtis Dale Stump Jr. | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-14 |
| 1013528496 | Christina Kay Ford | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-11 |
| 1174141709 | Zsanett Kormanyos | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-07-09 |
| 1265050025 | Allison Catherine Clemens | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-07-08 |
| 1821610056 | Elle Stronczek | Dietitian, Registered | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235481755 | Dedrick K. Bowe | Internal Medicine | 800 Broadway Ste 204, Fort Wayne, IN 46802-2149 | 2012-10-08 |
| 1912032434 | Brian Allen Youn | Internal Medicine | 821 S Scott Rd, Fort Wayne, IN 46814-9398 | 2007-02-23 |
| 1417984063 | Chuck G Nwakanma | Internal Medicine | 2200 Randallia Dr., Fort Wayne, IN 46805-4738 | 2006-06-27 |
| 1104874452 | Srinivasan Devanathan | Internal Medicine | 8028 Carnegie Blvd., Suite 600, Fort Wayne, IN 46804-5790 | 2006-05-05 |
| 1457353591 | Jean M Weaver | Internal Medicine | 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845-0025 | 2005-08-10 |
| 1194135939 | Mohamed Mahfoud | Internal Medicine | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2014-05-01 |
| 1508207713 | Fabian Alexander Lemp | Internal Medicine | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2013-07-16 |
| 1184979882 | Nikki Mo Wynn | Internal Medicine | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2012-07-18 |
| 1336400019 | Krishna Sudhir Ayyagari | Internal Medicine | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2012-05-30 |
| 1730472945 | Armais V. Akovbyan | Internal Medicine | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2011-05-20 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on KEVIN SUN.
| 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.