Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093707655 Individual Practitioner Male Practitioner

Keith B Sunderlin , PA-C

Physician Assistant • Providence, RI

Professional Overview & Biography Verified Profile Summary

Keith Sunderlin, PA-C is a registered healthcare professional specializing in Physician Assistant in Providence, RI. Practice services are available at 593 EDDY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St
Apc 4

Providence, RI 029034923

Telephone 4014444000
Fax 4014446681
Associated Practice Facility / Clinic
🏢 Rhode Island Hospital Facility NPI 1588659528

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
267 Specialists

Practicing in Providence, RI (687 Statewide)

Telehealth Adoption Rate
16.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA00417

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NC 102283

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9005145 (RI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kelsey Heck , PA

Physician Assistant

NPI 1003503459

Physician Assistant

Bret Caulfield

Physician Assistant

NPI 1003512476
Dr. Gregory Lockhart , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1003855339

Doctor of Medicine (M.D.)

Dr. Daniel Shanin , MD

Emergency Medicine

NPI 1013322486

Doctor of Medicine (M.D.)

Christopher Cureton , NP

Nurse Practitioner - Family

NPI 1013416353

Nurse Practitioner

Shannon Whittemore , NP

Nurse Practitioner

NPI 1013443878

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 22, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2010

Registered at 593 EDDY ST, APC 4, PROVIDENCE, RI 029034923 (Tel: 4014444000)

📍
Updated Business Mailing Address October 22, 2010

Registered at PO BOX 16149, RUMFORD, RI 029160697 (Tel: 4014539625)

👤
Provider Name / Credentials Updated October 22, 2010

Recorded as KEITH SUNDERLIN, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2010

Physician Assistant (License #PA00417 in RI)

🟢
Initial NPI Registration & Enumeration August 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093707655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2005
Last Update: October 22, 2010
Sole Proprietor: No

Mailing Address

Po Box 16149

Rumford, RI 029160697

Phone: 4014539625

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.