Paul K Sunderland, MD | |
914 S Scheuber Rd, Centralia, WA 98531-9027 | |
(360) 748-4444 | |
Not Available |
Full Name | Paul K Sunderland |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 914 S Scheuber Rd, Centralia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497782486 | NPI | - | NPPES |
8410466 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | MD00042524 (Washington) | Primary |
207P00000X | Emergency Medicine | 071891 (Georgia) | Secondary |
Entity Name | Thurston Emergency Group A Professional Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558526756 PECOS PAC ID: 4688740517 Enrollment ID: O20080829000199 |
Entity Name | Sunnyside Emergency Group A Professional Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033529367 PECOS PAC ID: 0941424451 Enrollment ID: O20140623002600 |
Mailing Address | Practice Location Address |
---|---|
Paul K Sunderland, MD 3804 4th Ave Nw, Olympia, WA 98502-2646 Ph: () - | Paul K Sunderland, MD 914 S Scheuber Rd, Centralia, WA 98531-9027 Ph: (360) 748-4444 |
Patrick O'neill, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-748-4444 | |
Dr. Jacqueline Michelle Wong, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-330-8516 | |
Marcus Scott Myers, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-330-8785 | |
Dr. Mark Thomas Larson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-330-8785 Fax: 360-330-8784 | |
Stanley Wade Robinson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-748-4444 | |
Marc Reiswig, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-748-4444 |