Active NPI
Sutherland Neurology, Inc
- Neurology Physician
- Marion, OH
National Provider Identifier
1053598565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35-053397
- Legal business name
- SUTHERLAND NEUROLOGY, INC
- Practice address
- 165 W Center St
# 401
Marion, OH 43302-3742 - Phone
- (740) 382-4121
- NPI assigned
- Jan 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen R Sutherland, M.D.
- Title
- Owner
- Phone
- (740) 382-4121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35-053397 | OH | Primary |
Addresses
Primary practice location
165 W Center St
# 401
Marion, OH 43302-3742
Mailing address
165 W Center St
# 401
Marion, OH 43302-3742
Phone (740) 382-4121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0625658 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296691200000",
"number": "1053598565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 W CENTER ST",
"address_2": "# 401",
"city": "MARION",
"state": "OH",
"postal_code": "433023742",
"telephone_number": "740-382-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 W CENTER ST",
"address_2": "# 401",
"city": "MARION",
"state": "OH",
"postal_code": "433023742",
"telephone_number": "740-382-4121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTHERLAND NEUROLOGY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-28",
"last_updated": "2011-02-03",
"status": "A",
"authorized_official_last_name": "SUTHERLAND",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-382-4121",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35-053397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0625658",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.