Individual provider Active NPI

Christopher Dean Suhre, MD

  • Pediatrics Physician
  • East Alton, IL
National Provider Identifier
1255350252
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036115801 Issued in IL
Practice address
2 Terminal Dr
Suite 8
East Alton, IL 62024-2201
Phone
(618) 259-1419
Fax
(618) 259-1502
NPI assigned
Jul 19, 2006
Last updated
Feb 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036115801 IL Primary

Addresses

Primary practice location

2 Terminal Dr
Suite 8
East Alton, IL 62024-2201

Mailing address

2 Terminal Dr
Suite 8
East Alton, IL 62024-2201
Phone (618) 259-1419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070427000168 IL Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 0244336832 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation, Inc. Pediatrics CurrentSince Jan 28, 2015 Accepting new patients
Southern Illinois Healthcare Foundation Inc Pediatrics Current Accepting new patients
Granite City Hospitalist Services LLC CurrentSince Jan 15, 2020 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Jan 28, 2015 Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

2 Terminal Dr
Ste 8
East Alton, IL 62024
Phone (618) 258-0485

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

Interoperability endpoints

  • Direct secure messaging: christopher.suhre.1@9559.direct.athenahealth.com
  • Direct secure messaging: suhrec@yourcarecommunity.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1255350252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TERMINAL DR",
            "address_2": "SUITE 8",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242201",
            "telephone_number": "618-259-1419",
            "fax_number": "618-259-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TERMINAL DR",
            "address_2": "SUITE 8",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242201",
            "telephone_number": "618-259-1419",
            "fax_number": "618-259-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUHRE",
        "first_name": "CHRISTOPHER",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036115801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Alton, IL

Sources for this page

Verify at the official NPI Registry.