Organization Active NPI

Jeffrey L Sutton

Doing business as Heart Disease Specialist PA

  • Cardiovascular Disease Physician
  • Lake Worth, FL
National Provider Identifier
1265465538
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 38277 Issued in FL
Legal business name
JEFFREY L SUTTON
Doing business as
Heart Disease Specialist PA
Practice address
9742 Via Verga St
Lake Worth, FL 33467-6161
Phone
(561) 309-4852
Fax
(561) 304-0295
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Dr. Jeffrey Lee Sutton, M.D.NPI 1942259148
Title
President
Phone
(561) 309-4852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME 38277 FL Primary

Addresses

Primary practice location

9742 Via Verga St
Lake Worth, FL 33467-6161

Mailing address

9742 Via Verga St
Lake Worth, FL 33467-6161
Phone (561) 309-4852

Other names 1

  • Heart Disease Specialist PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101028000752 FL Part B Supplier - Clinic/Group Practice 1850585332 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Worth, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1265465538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9742 VIA VERGA ST",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676161",
            "telephone_number": "561-309-4852",
            "fax_number": "561-304-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9742 VIA VERGA ST",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676161",
            "telephone_number": "561-309-4852",
            "fax_number": "561-304-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L SUTTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-309-4852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 38277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Disease Specialist PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.