THEODORE R. SUNDER M.D. – NPI #1255315065
Psychiatry & Neurology
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
THEODORE SUNDER is a psychiatry & neurologist located in SPRINGFIELD, IL. NPPES has assigned the NPI number 1255315065 to THEODORE SUNDER on December 05, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2084N0402X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology
The NPI profile was previously updated about 10 years ago on Apr 08, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THEODORE SUNDER below.
NPI Profile for
THEODORE R. SUNDER
(more than 20 years ago)
SPRINGFIELD, IL 62702-5317 Phone: (217) 757-6888 Fax: (217) 757-6869
Identifiers for THEODORE SUNDER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | IL | 036088538 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2084N0402X - Psychiatry & Neurology / Neurology with Special Qualifications in Child Neurology (Primary) |
IL | 036-088538 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.