T R Suggs MD Medical Clinic PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

T R SUGGS MD MEDICAL CLINIC PA

Practice address

300 S Main St
Crescent City, FL 32112-2729

Phone

(386) 698-1221

Fax

(386) 698-1514

NPI assigned

Feb 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Thelbert R Suggs, MD

Title

Owner

Phone

(386) 698-1221

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1164754602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "CRESCENT CITY",
            "state": "FL",
            "postal_code": "321120098",
            "telephone_number": "386-698-1221",
            "fax_number": "386-698-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MAIN ST",
            "city": "CRESCENT CITY",
            "state": "FL",
            "postal_code": "321122729",
            "telephone_number": "386-698-1221",
            "fax_number": "386-698-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T R SUGGS MD MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "SUGGS",
        "authorized_official_first_name": "THELBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-698-1221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045328500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "012686688",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Crescent City, FL
• Providers in Crescent City, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.