Vincent E Sutliff III, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

D0050070 Issued in MD

Practice address

8329 Cherry Lane
Laurel, MD 20707

Phone

(301) 953-3535

Fax

(301) 725-4718

NPI assigned

Mar 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vincent.sutliff@1415.chartlogic.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/24726/brand/1/csg/1/fhir/r4

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.

• Gastro Center of Maryland LLC

  • Gastroenterology Physician
  • Columbia, MD
  • NPI 1164609111

  DC

  Medicare reassignment NPD
• Vincent Sutliff MD

  • Gastroenterology Physician
  • Laurel, MD
  • NPI 1265614283
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Optimal Care, LLC

  • Chiropractor
  • Laurel, MD
  • NPI 1093820888
  NPD (past)
• Riverside Medical Associates PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Riverdale, MD
  • NPI 1730132648

  Gastroenterology

  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1205896727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8329 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074828",
            "telephone_number": "301-953-3535",
            "fax_number": "301-725-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8329 CHERRY LANE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "301-953-3535",
            "fax_number": "301-725-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTLIFF",
        "first_name": "VINCENT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0050070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "655900000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oluwakemi Sule
• Andrew Joseph Sullivan, OT
• Amber Chenell Summers, PHD, RD, CHES
• Pamela Summers, MD
• Jamie Surell, M.S.,CCC-SLP
• Suuna CHI Healthcare Services, LLC
• Suuna CHI Healthcare Services, LLC
• Aaron Elijah- Alva Swan
• Karina Swann
• Michelle Sarah Swanson

• Gastroenterology Physician in Laurel, MD
• Providers in Laurel, MD by specialty
• Gastroenterology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.