KEITH B SUNDERLIN PAC
NPI 1093707655
Physician Assistant in Providence, RI
NPI Status: Active since August 19, 2005
Contact Information
593 EDDY ST
APC 4
PROVIDENCE, RI
ZIP 02903
Phone: (401) 444-4000
Fax: (401) 444-6681
- Individual
- Male
- Physician Assistant
About KEITH SUNDERLIN
This page provides the complete NPI Profile along with additional information for Keith Sunderlin, a primary care provider established in Providence, Rhode Island with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1093707655 assigned on August 2005. The practitioner's primary taxonomy code is 363A00000X with license number PA00417 (RI). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1093707655
- Provider Name
- KEITH B SUNDERLIN PAC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 593 EDDY ST APC 4 PROVIDENCE, RI 02903
- Location Phone
- (401) 444-4000
- Location Fax
- (401) 444-6681
- Mailing Address
- PO BOX 16149 RUMFORD, RI 02916
- Mailing Phone
- (401) 453-9625
- Mailing Fax
- (401) 444-6681
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-19-2005
- Last Update Date
- 10-22-2010
- Code Navigator
A primary care provider (PCP) like Keith Sunderlin sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA00417
- License State
- RI
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 102283 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9005145 | MEDICAID (05) | RI | |
| 979005145 | MEDICARE PIN (08) | RI | |
| 2744096A | MEDICARE ID-TYPE UNSPECIFIED (04) | NC |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 9 | 3 | 7 | 0 | 7 | 6 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 14 | 0 | 14 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 1 + 4 + 0 + 1 + 4 + 6 + 1 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1093707655 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235134495 | DR. CHANDAN LAKHIANI MD Individual | Pediatrics | 593 EDDY ST HASBRO LL PROVIDENCE, RI 02903 (401) 444-4691 |
| 1215933908 | RACHEL ALLISON ALTURA MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 593 EDDY ST HASBRO LL PROVIDENCE, RI 02903 (401) 444-5241 |
| 1255338240 | MOHAMMED FAIZAN M.D. Individual | Pediatrics (Pediatric Nephrology) | 593 EDDY ST HASBRO 122 PROVIDENCE, RI 02903 (401) 444-6195 |
| 1477551992 | DR. PETER J QUESENBERRY MD Individual | Internal Medicine (Hematology & Oncology) | 593 EDDY ST PROVIDENCE, RI 02903 (401) 444-4830 |
| 1235138843 | DR. SUSAN L. PLANTE PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 593 EDDY ST PHARMACY SERVICES PROVIDENCE, RI 02903 (401) 444-9075 |
| 1275533077 | ZHANHONG MI CNP Individual | Nurse Practitioner | 593 EDDY ST APC 456 PROVIDENCE, RI 02903 (401) 444-5545 |
| 1073500757 | DR. MARK E. MATTINGLY M.D. Individual | Internal Medicine | 593 EDDY ST PROVIDENCE, RI 02903 (401) 444-3985 |
| 1306837323 | MS. JO-ANN BERGERON POLSKY BS, MPH, RD Individual | Nutritionist | 593 EDDY ST RHODE ISLAND HOSPITAL POB 334 PROVIDENCE, RI 02903 (401) 444-4422 |
| 1215919782 | DR. SUZANNE E MCLAUGHLIN M.D. Individual | Internal Medicine | 593 EDDY ST POB-224 MED/PEDS CLINIC PROVIDENCE, RI 02903 (401) 444-6118 |
| 1619950581 | DR. JAY M. BARUCH M.D. Individual | Emergency Medicine | 593 EDDY ST PROVIDENCE, RI 02903 (401) 519-1604 |
| 1083698575 | ALI KAZIM M.D. Individual | Psychiatry & Neurology (Forensic Psychiatry) | 593 EDDY ST RHODE ISLAND HOSPITAL PROVIDENCE, RI 02903 (404) 444-4779 |
| 1750365797 | DR. KRISTIN LEE BRUNING MD Individual | Psychiatry & Neurology (Psychiatry) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 444-4515 |
| 1013991926 | HUMERA KHURSHID MD Individual | Internal Medicine (Hematology & Oncology) | 593 EDDY ST APC MAIN PROVIDENCE, RI 02903 (401) 444-5435 |
| 1407830334 | THOMAS ALLEN ROESLER MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 593 EDDY ST PHYSICIAN'S OFFICE BLDG., # 122 PROVIDENCE, RI 02903 (401) 444-4515 |
| 1699750067 | RICHARD C ARCHAMBAULT EDD Individual | Marriage & Family Therapist | 593 EDDY ST POTTER 3 PROVIDENCE, RI 02903 (401) 444-3534 |
| 1679559371 | DR. CELIA MARIA LESCANO PHD Individual | Psychologist (Clinical) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 444-8539 |
| 1467438184 | DR. ROBYN S MEHLENBECK PHD Individual | Psychologist (Clinical Child & Adolescent) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 444-8638 |
| 1881679512 | RENDUELES VILLALBA II MD Individual | Psychiatry & Neurology (Psychiatry) | 593 EDDY ST POTTER 2 PROVIDENCE, RI 02903 (401) 444-2128 |
| 1386620466 | DR. HENRY R LESIEUR PSYD, PHD Individual | Psychologist (Addiction (Substance Use Disorder)) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 277-0700 |
| 1306822176 | KAREN FULLERTON APRN, BC Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 593 EDDY ST MAIN BLDG., ROOM 038 PROVIDENCE, RI 02903 (401) 444-4779 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093707655, enumerated in the NPI registry as an "individual" on August 19, 2005
The provider is located at 593 Eddy St Apc 4 Providence, Ri 02903 and the phone number is (401) 444-4000
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 19, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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