Suthipan Chevy, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

10735 Issued in WV

Practice address

650 E McDonald Ave
Man, WV 25635-1023

Phone

(304) 583-8585

Fax

(304) 583-0129

NPI assigned

Jun 8, 2005

Reactivated

Apr 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1275537201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LYNN AVE",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231138",
            "telephone_number": "304-824-5806",
            "fax_number": "304-824-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E MCDONALD AVE",
            "city": "MAN",
            "state": "WV",
            "postal_code": "256351023",
            "telephone_number": "304-583-8585",
            "fax_number": "304-583-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVY",
        "first_name": "SUTHIPAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2012-04-30",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "10735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092794000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of West Virginia, Inc.
• Brown Bailey & Blankenship Inc
• Mindy Davonne Browning
• Katelyn Rae Casey
• Charles E.Porterfield
• Alice Childers
• Donna Lee Clark, RPH
• Shawn E Cline-Riggins, CR FNP
• Angel Dawn Collins
• Jade Maddisyn Collins

• Obstetrics & Gynecology Physician in Man, WV
• Providers in Man, WV by specialty
• Obstetrics & Gynecology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.