Individual provider Active NPI

Sean Sutphen, DO

  • Family Medicine Physician
  • Le Mars, IA
National Provider Identifier
1124648696
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102207523 Issued in VA
Practice address
714 Lincoln St NE
Le Mars, IA 51031-3311
Phone
(712) 546-3677
Fax
(712) 546-3690
NPI assigned
Apr 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102207523 VA Primary

Addresses

Primary practice location

714 Lincoln St NE
Le Mars, IA 51031-3311

Mailing address

209 4TH Ave NW
Le Mars, IA 51031-3136
Phone (703) 939-1207

Other practice location 1

607 E Jubal Early Dr
Winchester, VA 22601-5178
Phone (540) 536-2232

Other practice location 2

160 Merchant St Ste 200
Winchester, VA 22603-4772
Phone (540) 536-5950

Other practice location 3

65 Riverton Commons Dr
Front Royal, VA 22630-6768
Phone (154) 063-5070

Other practice location 4

415A South St
Front Royal, VA 22630-2115
Phone (540) 636-0495

Other practice location 5

33820 Old Valley Pike Ste 2
Strasburg, VA 22657-3793
Phone (540) 459-1310

Other practice location 6

5301 Main St
Mount Jackson, VA 22842-9649
Phone (540) 459-1250

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address ssutphen701633@soc.inova.org
Direct Messaging Address ssutphen701633@soc.inova.org
Direct Messaging Address ssutphen701633@soc.inova.org
Direct Messaging Address ssutphen701633@soc.inova.org
Direct Messaging Address ssutphen701633@soc.inova.org
Direct Messaging Address ssutphen701633@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231009000277 VA Practitioner - Family Practice 5092137703 Reassigns benefits to 1 organization
I20231219003820 IA Practitioner - Family Practice 5092137703 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd Valley HealthcareGroup PAC ID 2769385475, 35 clinicians

Practice addresses (Care Compare)

714 Lincoln St NE
Le Mars, IA 51031-3314
Phone (712) 546-3338

Hospital & facility affiliations

  • Floyd Valley Hospital Community Health Services Home health agency, Le Mars, IA, CCN 167105
  • St Croix Hospice Hospice, Spirit Lake, IA, CCN 161607
  • Floyd Valley Healthcare Hospital, Le Mars, IA, CCN 161368
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Good Samaritan - Lemars Nursing home, Le Mars, IA, CCN 165205
  • Floyd Valley Healthcare Nursing home, CCN 16Z368

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Valley Healthcare Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Floyd Valley Healthcare CurrentSince Dec 1, 2023 Accepting new patients
Valley Regional Enterprises, Inc CurrentSince Oct 1, 2023 Accepting new patients
Floyd Valley Healthcare Current Accepting new patients
Floyd Valley Healthcare CurrentSince Jan 1, 2026 Accepting new patients
Floyd Valley Healthcare Current Accepting new patients
Front Royal Family Practice, P.C. Family Medicine PastSince Apr 1, 2020 Accepting new patients
Valley Regional Enterprises, Inc PastSince Oct 1, 2023 Accepting new patients
Sentara RMH Medical Center PastSince Apr 1, 2020 Accepting new patients

Locations

714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338

415A South St
Front Royal, VA 22630
Phone (540) 636-0495

65 Riverton Commons Dr
Front Royal, VA 22630
Phone (540) 635-0700

5301 Main St
Mount Jackson, VA 22842
Phone (540) 459-1250

33820 Old Valley Pike
Ste 2
Strasburg, VA 22657
Phone (540) 459-1310

160 Merchant St
#200
Winchester, VA 22603
Phone (540) 536-5950

607 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-2232

Interoperability endpoints

  • Direct secure messaging: sean.sutphen@avera.sdhealthlink.net
  • Direct secure messaging: ssutphen701633@valleyhealth.direct-ci.com

Organizations & group practices 10

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 6

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": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1124648696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 4TH AVE NW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313136",
            "telephone_number": "703-939-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 LINCOLN ST NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313311",
            "telephone_number": "712-546-3677",
            "fax_number": "712-546-3690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 E Jubal Early Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226015178",
            "country_code": "US",
            "telephone_number": "540-536-2232",
            "fax_number": "540-536-2206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Merchant St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226034772",
            "country_code": "US",
            "telephone_number": "540-536-5950",
            "fax_number": "540-536-5955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Riverton Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226306768",
            "country_code": "US",
            "telephone_number": "154-063-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415A South St",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226302115",
            "country_code": "US",
            "telephone_number": "540-636-0495",
            "fax_number": "540-636-0450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33820 Old Valley Pike Ste 2",
            "address_purpose": "LOCATION",
            "city": "Strasburg",
            "state": "VA",
            "postal_code": "226573793",
            "country_code": "US",
            "telephone_number": "540-459-1310",
            "fax_number": "540-459-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5301 Main St",
            "address_purpose": "LOCATION",
            "city": "Mount Jackson",
            "state": "VA",
            "postal_code": "228429649",
            "country_code": "US",
            "telephone_number": "540-459-1250",
            "fax_number": "540-459-1251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTPHEN",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-24",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102207523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssutphen701633@soc.inova.org",
            "affiliation": "N",
            "address_1": "65 Riverton Commons Dr",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226306768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssutphen701633@soc.inova.org",
            "affiliation": "N",
            "address_1": "607 E Jubal Early Dr",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226015178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssutphen701633@soc.inova.org",
            "affiliation": "N",
            "address_1": "415A South St",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226302115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssutphen701633@soc.inova.org",
            "affiliation": "N",
            "address_1": "5301 Main St",
            "city": "Mount Jackson",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228429649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssutphen701633@soc.inova.org",
            "affiliation": "N",
            "address_1": "33820 Old Valley Pike Ste 2",
            "city": "Strasburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226573793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssutphen701633@soc.inova.org",
            "affiliation": "N",
            "address_1": "160 Merchant St Ste 200",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226034772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Le Mars, IA

Sources for this page

Verify at the official NPI Registry.