Organization Active NPI

Sutherland Neurology, Inc

  • Neurology Physician
  • Marion, OH
National Provider Identifier
1053598565
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35-053397 Issued in OH
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

Updated by the provider on Feb 3, 2011

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0625658MedicaidOH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.