Active NPI
Gregory Paul Suchon, MD
- Pediatrics Physician
- Montrose, CO
National Provider Identifier
1407064124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 46544
- Practice address
- 947 So Fifth St
Montrose, CO 81401-5716 - Phone
- (970) 249-2421
- Fax
- (970) 249-8897
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0116016848 | VA | |
| Pediatrics Physician | 208000000X | 46544 | CO | Primary |
Addresses
Primary practice location
947 So Fifth St
Montrose, CO 81401-5716
Mailing address
947 So Fifth St
Montrose, CO 81401-5716
Phone (970) 249-2421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24231851 | Medicaid | CO |
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 |
|---|---|---|---|
| 46544 | CO | MD | Pediatrics Physician |
| 0116016848 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates Prof LLC | Past | Accepting new patients | |
| Montrose Memorial Hospital, Inc | Past | Accepting new patients | |
| Pediatric Associates Prof LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- gregory.suchon.1@11212.direct.athenahealth.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Montrose, CO
- NPI 1205822186
-
- Rural Health Clinic/Center
- Delta, CO
- NPI 1043016124
-
- Pediatrics Physician
- Montrose, CO
- NPI 1548261324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1407064124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "947 SO FIFTH ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015716",
"telephone_number": "970-249-2421",
"fax_number": "970-249-8897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "947 SO FIFTH ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015716",
"telephone_number": "970-249-2421",
"fax_number": "970-249-8897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCHON",
"first_name": "GREGORY",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0116016848",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "46544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "24231851",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.