Active NPI
Mitchel Paul Sugg, CPO, C.PED.,FAAOP
- Prosthetist
- Kinston, NC
National Provider Identifier
1003964867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 213 Airport Rd
Lenoir Crossing
Kinston, NC 28504-8859 - Phone
- (252) 522-3278
- Fax
- (252) 522-3280
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
213 Airport Rd
Lenoir Crossing
Kinston, NC 28504-8859
Mailing address
PO Box 1495
Kinston, NC 28503-1495
Phone (252) 522-3278
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7705029 | Medicaid | NC | |
| 7795129 | Medicaid | NC | |
| 1861626723 | Other | NC | PARTNERS (BCBS) |
| 1861626723 | Other | NC | BCBS (TRAD, PPO, MC) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastpoint Prosthetics & Orthotics, Inc. | Orthotist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Customized Equipment (DME)
- Kinston, NC
- NPI 1861626723
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256601600000",
"number": "1003964867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1495",
"city": "KINSTON",
"state": "NC",
"postal_code": "285031495",
"telephone_number": "252-522-3278",
"fax_number": "252-522-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 AIRPORT RD",
"address_2": "LENOIR CROSSING",
"city": "KINSTON",
"state": "NC",
"postal_code": "285048859",
"telephone_number": "252-522-3278",
"fax_number": "252-522-3280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGG",
"first_name": "MITCHEL",
"middle_name": "PAUL",
"credential": "CPO, C.PED.,FAAOP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2009-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7705029",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7795129",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS (BCBS)",
"identifier": "1861626723",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS (TRAD, PPO, MC)",
"identifier": "1861626723",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.