DR. SUN SAN LIN (NPI# 1437159704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437159704 |
| Entity Type | Individual |
| Full Name | DR. SUN SAN LIN |
| Credential | MD |
| Practice Address |
2205 Oakwood Ave Bloomington IL 61704-2413 |
| Practice Telephone | 3096624040 |
| Practice Fax Number | 3096624040 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2008-07-24 |
| NPI Deactivation Date | 08/30/2006 |
| NPI Reactivation Date | 2008-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
3478 | ND | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
036050310 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215098298 | Sun Son Lin | Emergency Medicine | 39400 Paseo Padre Pkwy, Dept of Emergency Medicine, Fremont, CA 94538-2310 | 2006-12-13 |
| Street Address |
2205 OAKWOOD AVE |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1528369428 | Center for Optimal Health | Obstetrics & Gynecology | 415 W First Street, Bloomington, IN 47403 | 2010-11-09 |
| 1760473169 | Brandt L Ludlow | Obstetrics & Gynecology | 628 S Christopher Dr, Bloomington, IN 47401-4899 | 2005-11-03 |
| 1922093137 | Robert William Richey | Obstetrics & Gynecology | 654 S Walker St, Bloomington, IN 47403-2159 | 2005-09-14 |
| 1760661029 | Brandt L Ludlow, M.d., LLC | Obstetrics & Gynecology | 411 W 1st St, Bloomington, IN 47403-2403 | 2007-11-02 |
| 1346363983 | Womens Health Associates of Central Il, Ltd | Obstetrics & Gynecology | 1505 Eastland Dr, Suite 250, Bloomington, IL 61701-3534 | 2007-04-09 |
| 1780700229 | Rebecca Brewer Md LLC | Obstetrics & Gynecology | 3925 Hagan St, Suite 104, Bloomington, IN 47401-8556 | 2007-03-22 |
| 1982736062 | Wendy Kinsey Corning, M.d., LLC | Obstetrics & Gynecology | 383 S Park Ridge Rd, Suite 102, Bloomington, IN 47401-8574 | 2007-03-12 |
| 1295765634 | Gynecology Associates, PC | Obstetrics & Gynecology | 654 S Walker St, Bloomington, IN 47403-2159 | 2006-07-03 |
| 1073508040 | Philip Clark Brittain | Obstetrics & Gynecology | 642 S Walker St, Bloomington, IN 47403-2158 | 2005-09-15 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on DR. SUN SAN LIN.
| 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.