Organization Active NPI

Stephen P Sutton MD Inc

  • Urology Physician
  • Oregon, OH
National Provider Identifier
1285620955
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35043749S Issued in OH
Legal business name
STEPHEN P SUTTON MD INC
Practice address
1050 Isaac Streets Dr
Suite 126
Oregon, OH 43616-3291
Phone
(419) 698-2020
Fax
(419) 698-1520
NPI assigned
Sep 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Stephen P Sutton, MD
Title
President
Phone
(419) 698-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 35043749S OH Primary

Addresses

Primary practice location

1050 Isaac Streets Dr
Suite 126
Oregon, OH 43616-3291

Mailing address

1050 Isaac Streets Dr
Suite 126
Oregon, OH 43616-3291
Phone (419) 698-2020

Other identifiers 3

IdentifierTypeStateIssuer
30037121200OtherOHHMO
0419176MedicaidOH
00555OtherOHPARAMOUNT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1285620955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 ISAAC STREETS DR",
            "address_2": "SUITE 126",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163291",
            "telephone_number": "419-698-2020",
            "fax_number": "419-698-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 ISAAC STREETS DR",
            "address_2": "SUITE 126",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163291",
            "telephone_number": "419-698-2020",
            "fax_number": "419-698-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN P SUTTON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-698-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": "35043749S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "30037121200",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419176",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "00555",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.