Suzanne Dasher Stuckey, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

27923 Issued in AL

Practice address

1504 Springhill Ave
Suite 1600
Mobile, AL 36604-3207

Phone

(251) 434-3915

Fax

(251) 434-3802

NPI assigned

Feb 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sstuckey@healthykids.gwaydirect.com
• Direct secure messaging: sstuckey@hkofgardendale.opdirect.net

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.

• Healthykids of Gardendale

  • Preferred Provider Organization
  • Gardendale, AL
  • NPI 1245256494
  NPD (past)

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1104952258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-470-5842",
            "fax_number": "251-470-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SPRINGHILL AVE",
            "address_2": "SUITE 1600",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366043207",
            "telephone_number": "251-434-3915",
            "fax_number": "251-434-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "SUZANNE",
        "middle_name": "DASHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "27923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stronger Together Residential Services
• Soterios Channing Stroud, DO
• Haley Stuart, NP
• Kathryn A Stuart, MD
• Caroline June Stubblefield, FNP-C
• Harry Earl Studdard II, MD
• Jennifer Faye Stull, RN, BSN
• Tyler Lee Sturdivant, MSN, RN, AGCNS-BC
• Chad Sturkie, ATC
• Diana Sturm, LPC

• Pediatrics Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.