Individual provider Active NPI

Cheryl Rene Suiter, MD

  • Obstetrics & Gynecology Physician
  • Lufkin, TX
National Provider Identifier
1093915142
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J7855 Issued in TX
Practice address
402 Gaslight Blvd
Lufkin, TX 75904-3123
Phone
(936) 699-7575
Fax
(936) 699-7576
NPI assigned
Jul 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J7855 TX Primary

Addresses

Primary practice location

402 Gaslight Blvd
Lufkin, TX 75904-3123

Mailing address

PO Box 151420
Lufkin, TX 75915-1420
Phone (936) 699-7575

Other identifiers 3

IdentifierTypeStateIssuer
113483501MedicaidTX
160043202OtherTXMEDICARE RAILROAD
1962591131OtherTXNPI FOR ORGANIZATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070723000812 TX Practitioner - Obstetrics/Gynecology 5991806754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

402 Gaslight Blvd
Lufkin, TX 75904-3123
Phone (936) 699-7575

Hospital & facility affiliations

  • CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
  • Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J7855TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl Suiter MD PA Obstetrics & Gynecology CurrentSince Nov 26, 2013 Accepting new patients
Piney Woods Healthcare System, L.P. Past Accepting new patients
Memorial Health System of East Texas Past Accepting new patients
Memorial Multispecialty Associates PastSince Aug 1, 2016 Accepting new patients

Locations

402 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 634-7522

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADBCCA/Endpoint/ADBCCA

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1093915142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151420",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759151420",
            "telephone_number": "936-699-7575",
            "fax_number": "936-699-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043123",
            "telephone_number": "936-699-7575",
            "fax_number": "936-699-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUITER",
        "first_name": "CHERYL",
        "middle_name": "RENE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J7855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113483501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160043202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR ORGANIZATION",
            "identifier": "1962591131",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.