Active NPI
David Mitch Sutter, PRSS
- Peer Specialist
- Stigler, OK
National Provider Identifier
1114565330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 1505 E Main St
Stigler, OK 74462-2913 - Phone
- (918) 967-3368
- Fax
- (918) 967-3351
- NPI assigned
- Dec 18, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | OK | Primary |
Addresses
Primary practice location
1505 E Main St
Stigler, OK 74462-2913
Mailing address
PO Box 179
Stigler, OK 74462-0179
Phone (918) 967-3368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1114565330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 179",
"city": "STIGLER",
"state": "OK",
"postal_code": "744620179",
"telephone_number": "918-967-3368",
"fax_number": "918-967-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 E MAIN ST",
"city": "STIGLER",
"state": "OK",
"postal_code": "744622913",
"telephone_number": "918-967-3368",
"fax_number": "918-967-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTER",
"first_name": "DAVID",
"middle_name": "MITCH",
"credential": "PRSS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-18",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stigler, OK
- Stigler Health and Wellness Center Inc
- Stigler Health and Wellness Center Inc
- Stigler Health and Wellness Center, Inc
- Stigler Imaging, Infusion & Specialty Center Inc
- Stigler Public Schools
- Joseph Franklin Swink Jr., DDS
- Christina Dianne Tatum
- The Good Karma Clinic
- Terri Thelen, MA
- Thompson Hometown Eyecare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.