Active NPI
Sue Ann Cutliff, M.D.
- Pediatrics Physician
- Louisville, KY
National Provider Identifier
1245220953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 21536
- Practice address
- 2707 Tucker Rd
Louisville, KY 40299-2952 - Phone
- (502) 499-8208
- Fax
- (502) 499-8209
- NPI assigned
- Oct 24, 2005
- Last updated
- Sep 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 21536 | KY | Primary |
Addresses
Primary practice location
2707 Tucker Rd
Louisville, KY 40299-2952
Mailing address
2707 Tucker Rd
Louisville, KY 40299-2952
Phone (502) 499-8208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000352718 | Other | KY | ANTHEM PIN # |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21536 | KY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1245220953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 TUCKER RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402992952",
"telephone_number": "502-499-8208",
"fax_number": "502-499-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 TUCKER RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402992952",
"telephone_number": "502-499-8208",
"fax_number": "502-499-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTLIFF",
"first_name": "SUE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-24",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "21536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN #",
"identifier": "000000352718",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
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- Gary Matthew Cusick, PHD
- Custom Healthcare, LLC (PPS Orthotic & Prosthetic Services)
- Custom Quality Services, Inc.
- Treasa Cutler
- CV Louisville Opco I, LLC (Sycamore Heights Health and Rehabilitation)
- Ginger Marie Cyphert
- Cypress Hill Home Care LLC
- Cypress Medical Associates, PSC
- John L Cyr Jr., D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.