Ian C Sutton, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

024152 Issued in NY

Practice address

101 Dates Dr
Ithaca, NY 14850

Phone

(607) 274-4011

NPI assigned

Apr 17, 2019

Last updated

Oct 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: isutton@hiemail.healtheconnections.org

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.

• Cma Medical Practice PLLC

  dba Emergency Medicine Associates of Cayuga PLLC

  • Emergency Medicine Physician
  • Ithaca, NY
  • NPI 1962985564
  Medicare reassignment
• Cayuga Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Cortland, NY
  • NPI 1578639423
  NPD

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1295398048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DATES DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-274-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 N Main St",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "NY",
            "postal_code": "148839100",
            "country_code": "US",
            "telephone_number": "607-742-4862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Dates Dr",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "14850",
            "country_code": "US",
            "telephone_number": "607-274-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "IAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Marie Surowick
• Susan L. Michlovitz,PT,P.C.
• Karin Suskin, LCSW
• Andrea Sutfin, LPN
• Rachael Sutherland, LCSW
• Mira Sara Svatovic
• Madison Swanhart
• Kristin L Swanstrom, PA-C
• Stephanie Swearingen
• Josh Swiller, LMSW, BCT

• Physician Assistant in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.