Active NPI
James Thomas Sutton, M.D.
- Vascular Surgery Physician
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME0044108
- Practice address
- 588 Sterthaus Dr
Ormond Beach, FL 32174-5128 - Phone
- (386) 672-9503
- Fax
- (386) 672-0386
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME0044108 | FL | Primary |
Addresses
Primary practice location
588 Sterthaus Dr
Ormond Beach, FL 32174-5128
Mailing address
588 Sterthaus Dr
Ormond Beach, FL 32174-5128
Phone (386) 672-9503
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D57714 | Other | UPIN | |
| 64518 | Other | FL | BSBSFL |
| 004179 | Other | FL | FHCP |
| GT215A | Other | MEDICARE-CMS | |
| DT5266 | Other | RR MEDICARE GROUP | |
| 020007754 | Other | RR MEDICARE INDIVIDUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0044108 | FL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| James T Sutton MD PA | Vascular Surgery | Current | Accepting new patients |
| Atlantic Cardiovascular & Thoracic Surgeons, LLC | Vascular Surgery | Past | Accepting new patients |
Locations
1890 Lpga Blvd
Ste 250
Daytona Beach, FL 32117
Phone (386) 274-0250
311 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 241-1020
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
588 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 672-9501
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BADHCD/Endpoint/BADHCD
- jsutton58089@adventhealth.direct-ci.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Vascular Surgery Physician
- Daytona Beach, FL
- NPI 1093069395
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ormond Beach, FL
- NPI 1962831883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1043215635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "588 STERTHAUS DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745128",
"telephone_number": "386-672-9503",
"fax_number": "386-672-0386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "588 STERTHAUS DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745128",
"telephone_number": "386-672-9503",
"fax_number": "386-672-0386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "JAMES",
"middle_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME0044108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "D57714",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSBSFL",
"identifier": "64518",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FHCP",
"identifier": "004179",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-CMS",
"identifier": "GT215A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "DT5266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE INDIVIDUAL",
"identifier": "020007754",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.