Jerome O Sugar, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME 126969 Issued in FL

Practice address

11512 Lake Mead Ave
Ste 531
Jacksonville, FL 32256-9680

Phone

(904) 419-2054

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jerome Sugar Professional name

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

Locations

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.

• Ear, Nose & Throat Associates of Waterbury, PC

  • Otolaryngology Physician
  • Waterbury, CT
  • NPI 1982695979
  NPD

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1205831906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 DEER HAVEN DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822171",
            "telephone_number": "203-233-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE",
            "address_2": "STE 531",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569680",
            "telephone_number": "904-419-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGAR",
        "first_name": "JEROME",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "020592",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME 126969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEROME",
            "last_name": "SUGAR",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rachel Sudhindaran
• Jaime Sued, MD
• Desiree Suero
• Douglas Suffield, DAOM
• Sugar Doctors LLC
• Sophia Suggs
• Staci Suggs, D.D.S.
• Annie Suh, MD
• Suhas Joshi, MD PA
• Iram Suhel

• Otolaryngology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.