Paige Suddarth, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0005746 Issued in CO

Practice address

10375 Park Meadows Dr # 270
Lone Tree, CO 80124-6735

Phone

(303) 351-5995

NPI assigned

Mar 4, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: paige.suddarth@3675.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain View Pain Specialists

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lone Tree, CO
  • NPI 1912403544
  NPD (past)

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1396203873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 COMMONWEALTH ST APT 4307",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801249618",
            "telephone_number": "734-787-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10375 PARK MEADOWS DR # 270",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246735",
            "telephone_number": "303-351-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDDARTH",
        "first_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0005746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Stripling
• Renee Lynn Stubbings, RN
• Andrew Richard Stubbs, DMD
• Jacob Turner Stucki, DDS, MD
• Brock Ronald Sturlaugson, AU.D.
• Danielle Julia Genov Sudilovsky, DO
• Lawrence Guy Sullivan, M.D.
• Sarah Sullivan, MOT, OTR/L
• Taylor Sullivan, DO
• Summit Chiropractic Clinic of South Denver, Inc

• Physician Assistant in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.