Active NPI
Reid Edward Sutton, MD
- Hospitalist Physician
- Paris, IL
National Provider Identifier
1205916236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036-050805
- Practice address
- 721 E Court St
Paris, IL 61944-2460 - Phone
- (217) 465-4141
- Fax
- (217) 463-2769
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036050805 | IL | |
| Emergency Medicine Physician | 207P00000X | 036-050805 | IL | |
| Hospitalist Physician | 208M00000X | 036-050805 | IL | Primary |
Addresses
Primary practice location
721 E Court St
Paris, IL 61944-2460
Mailing address
721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036050805 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-050805 | IL | MD | Emergency Medicine Physician |
| 036050805 | IL | MD | Internal Medicine Physician |
Interoperability endpoints
- rsutton@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1205916236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 E COURT ST",
"city": "PARIS",
"state": "IL",
"postal_code": "619442460",
"telephone_number": "217-465-4141",
"fax_number": "217-463-2769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 E COURT ST",
"city": "PARIS",
"state": "IL",
"postal_code": "619442460",
"telephone_number": "217-465-4141",
"fax_number": "217-463-2769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "REID",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036050805",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-050805",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036-050805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036050805",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.