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SUNNYLANE MEDICAL CLINIC LLC
NPI 1255922811
Family Medicine in Del City, OK

Active since January 27, 2021
3916 S SUNNYLANE RD, DEL CITY, OK 73115(405) 455-5330 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2023, Jan 27, 2021 (2 updates tracked since 2021).

About Sunnylane Medical Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNNYLANE MEDICAL CLINIC LLC (NPI 1255922811) is a healthcare organization registered as a family medicine in Del City, Oklahoma and active in the NPI registry since January 2021. The organization lists Braden Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1255922811
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUNNYLANE MEDICAL CLINIC LLC
Location Address3916 S SUNNYLANE RDDel City, OK 73115-3656
Mailing Address3916 S Sunnylane RdDel City, OK 73115-3656 · (405) 455-5330
Phone(405) 455-5330
Organization SubpartNo
Authorized OfficialBraden PetersonOwner · (405) 455-5330
Enumeration DateJanuary 27, 2021
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1255922811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
3916 S SUNNYLANE RD, Del City, OK 73115
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNNYLANE FAMILY MEDICAL CLINIC INC.
Family Medicine
3916 S SUNNYLANE RD, 3916 SUNNYLANE RD.
DEL CITY, OK 73115
Oklahoma County (405) 677-3378
KAYLA SKINNER APRN
Nurse Practitioner (Family)
3916 S SUNNYLANE RD
DEL CITY, OK 73115
Oklahoma County (405) 266-0761
MEAGAN MAHTUSHQUAH APRN
Nurse Practitioner
3916 S SUNNYLANE RD
OKLAHOMA CITY, OK 73115
Oklahoma County (405) 812-2515
DR. SHANNON MICHAEL DNP, APRN, FNP-C
Nurse Practitioner (Family)
3916 S SUNNYLANE RD
OKLAHOMA CITY, OK 73115
Oklahoma County (405) 677-3378
SUNNYLANE MEDICAL CLINIC
Clinic/Center
3916 S SUNNYLANE RD
OKLAHOMA CITY, OK 73115
Oklahoma County (405) 677-3378

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunnylane Medical Clinic LLC's NPI number?

The NPI number for Sunnylane Medical Clinic LLC is 1255922811. It was assigned to this organization in the NPPES registry on January 27, 2021.

Where is Sunnylane Medical Clinic LLC located?

Sunnylane Medical Clinic LLC is located at 3916 S Sunnylane Rd, Del City, OK 73115. The listed phone number is (405) 455-5330.

What is Sunnylane Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Sunnylane Medical Clinic LLC was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.