Provider Demographics
NPI:1336671171
Name:SUNFLOWER PULMONARY AND SLEEP MEDICINE, LLC
Entity Type:Organization
Organization Name:SUNFLOWER PULMONARY AND SLEEP MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:FLESHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-201-1755
Mailing Address - Street 1:9350 E 35TH ST N
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226
Mailing Address - Country:US
Mailing Address - Phone:316-201-1755
Mailing Address - Fax:
Practice Address - Street 1:1861 N ROCK RD STE 105
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-1264
Practice Address - Country:US
Practice Address - Phone:316-201-1755
Practice Address - Fax:316-201-1138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-31
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-28290207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200088540AMedicaid
KS30003961560003Medicaid
KS100351170NMedicaid
KSH06840Medicare UPIN