Active NPI
Pamela M Sutton, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Fort Lauderdale, FL
National Provider Identifier
1376500645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- ME33712
- Practice address
- 1625 SE 3Rd Avenue
Suite 525
Fort Lauderdale, FL 33316 - Phone
- (954) 712-3903
- Fax
- (954) 355-5172
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | ME33712 | FL | Primary |
Addresses
Primary practice location
1625 SE 3Rd Avenue
Suite 525
Fort Lauderdale, FL 33316
Mailing address
PO Box 862851
Orlando, FL 32886-2851
Phone (954) 847-4273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037610800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME33712 | FL | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1376500645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 862851",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328862851",
"telephone_number": "954-847-4273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 SE 3RD AVENUE",
"address_2": "SUITE 525",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33316",
"telephone_number": "954-712-3903",
"fax_number": "954-355-5172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "PAMELA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME33712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037610800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.