Richard Greer Sugden, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2355A Issued in WY

Practice address

557 E Broadway Ave
Jackson, WY 83001-8640

Phone

(307) 733-7771

Fax

(307) 733-8276

NPI assigned

Sep 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1366549651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2468",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830012468",
            "telephone_number": "307-733-7771",
            "fax_number": "307-733-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 E BROADWAY AVE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018640",
            "telephone_number": "307-733-7771",
            "fax_number": "307-733-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGDEN",
        "first_name": "RICHARD",
        "middle_name": "GREER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "2355A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106276000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stone Drug
• Alexandra Grace Stone, OTR/L
• Julia C Stoner, PT
• Suburban Urology Network PLLC
• Stuart Ronald Sugarman, MD
• Jenelle M Sullivan, PT
• John A. Sullivan, M.D.
• Derrik Sulzer, DC, MS
• Summers Helping Hands, LLC
• Summit Relief JH LLC

• Family Medicine Physician in Jackson, WY
• Providers in Jackson, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.