Active NPI
Ralph Marc Sutherlin, D.O.
- Family Medicine Physician
- St Maries, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- O-264
- Practice address
- 622 W College Ave Ste 2
St Maries, ID 83861-1822 - Phone
- (208) 568-7800
- Fax
- (877) 902-7131
- NPI assigned
- Apr 2, 2006
- Last updated
- Feb 19, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | O-264 | ID | Primary |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | O-264 | ID |
Addresses
Primary practice location
622 W College Ave Ste 2
St Maries, ID 83861-1822
Mailing address
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Harvard Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1745 Main Ave
St Maries, ID 83861-1238
Phone (208) 582-3145
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-264 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Idaho Day Surgery LLC | Current | Accepting new patients | |
| Benewah Medical Center | Current | Accepting new patients | |
| Syringa Health and Wellness, PLLC | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Family Medicine | Past | Accepting new patients |
Locations
427 12th St
Plummer, ID 83851
Phone (208) 686-1449
1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300
750 N Syringa St
Ste 100
Post Falls, ID 83854
Phone (208) 262-2600
622 W College Ave
#2
St Maries, ID 83861
Phone (208) 245-4363
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- St Maries, ID
- NPI 1588309900
-
dba Marimn Health
- Federally Qualified Health Center (FQHC)
- Plummer, ID
- NPI 1336135136
-
dba Northwest Specialty Hospital
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- St Maries, ID
- NPI 1548320435
-
dba Northwest Specialty Hospital
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1245291772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1593 E POLSTON AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838545326",
"telephone_number": "208-262-2498",
"fax_number": "208-262-7461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W COLLEGE AVE STE 2",
"city": "ST MARIES",
"state": "ID",
"postal_code": "838611822",
"telephone_number": "208-568-7800",
"fax_number": "877-902-7131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTHERLIN",
"first_name": "RALPH",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-02",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "O-264",
"primary": true
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "ID",
"license": "O-264",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Maries, ID
- St Maries Chiropractic Inc
- St Maries Vision Center, PLLC (St Maries Vision Center)
- St. Maries School District #41
- Stand Tall Physical Therapy LLC
- Allyson Hudson Sterling, DO
- Syringa Health and Wellness, PLLC
- Tamarack Counseling Services, PLLC
- Amanda L. Tams, ATC
- Richard K Thurston, MD
- Valley Vista Apartments
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.