Individual provider Active NPI

John D Sutton, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Woodward, OK
National Provider Identifier
1184739765
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
14801 Issued in OK
Practice address
1818 Kansas Ave
Woodward, OK 73801-2912
Phone
(580) 254-3396
Fax
(580) 254-5311
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 14801 OK Primary
Legal Medicine 173000000X OK

Addresses

Primary practice location

1818 Kansas Ave
Woodward, OK 73801-2912

Mailing address

1818 Kansas Ave
Woodward, OK 73801-2912
Phone (580) 254-3396

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.sutton.12@1601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20031120000160 OK Practitioner - Internal MedicinePractitioner - Hospitalist 1254235534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1810 Kansas Ave
Woodward, OK 73801-2912
Phone (580) 216-6601

Hospital & facility affiliations

  • Accentcare Health Home health agency, Woodward, OK, CCN 377711
  • Traditions Health of Woodward Hospice, Woodward, OK, CCN 371669
  • Acg Hospice III Hospice, Elk City, OK, CCN 371711
  • Acg Hospice II Hospice, Oklahoma City, OK, CCN 371730
  • Acg Hospice Hospice, Grove, OK, CCN 371623
  • Integris Health Woodward Hospital Hospital, Woodward, OK, CCN 370002
  • Woodward Skilled Nursing and Therapy Nursing home, Woodward, OK, CCN 375195
  • Town of Vici Nursing Home Nursing home, Vici, OK, CCN 375545

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Midwest City, LLC CurrentSince Oct 1, 2020 Accepting new patients
John D. Sutton, MD. PLLC CurrentSince Jul 1, 2021 Accepting new patients
Midwest Hospitalist Group PLLC CurrentSince Oct 1, 2020 Accepting new patients
Town of Vici Past Accepting new patients
Integris Health Woodward Hospital Inc Past Accepting new patients
Woodward Nursing Center LLC Past Accepting new patients
House of Grace Nursing Facility, L.L.C. Past Accepting new patients

Locations

100 N 30th St
Clinton, OK 73601
Phone (580) 323-2363

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

1810 Kansas Ave
Woodward, OK 73801
Phone (580) 216-6601

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23437/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jdsutton@yourcarecommunity.org
  • Direct secure messaging: john.sutton.12@1601.direct.athenahealth.com
  • Direct secure messaging: john.sutton.1@5516.direct.athenahealth.com
  • Direct secure messaging: john.sutton.1@23437.direct.athenahealth.com

Organizations & group practices 7

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 8

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1184739765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 KANSAS AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012912",
            "telephone_number": "580-254-3396",
            "fax_number": "580-254-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 KANSAS AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012912",
            "telephone_number": "580-254-3396",
            "fax_number": "580-254-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OK",
            "license": "14801",
            "primary": true
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.sutton.12@1601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1818 Kansas Ave",
            "city": "Woodward",
            "state": "OK",
            "country_code": "US",
            "postal_code": "738012912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

Verify at the official NPI Registry.