Active NPI
Joseph A Sutton, PA-C
- Physician Assistant
- Federal Way, WA
National Provider Identifier
1407258783
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Aug 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60604531
- Practice address
- 505 S 336TH St Ste 500
Federal Way, WA 98003-8300 - Phone
- (206) 962-3535
- NPI assigned
- Sep 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA60604531 | WA | Primary |
Addresses
Primary practice location
505 S 336TH St Ste 500
Federal Way, WA 98003-8300
Mailing address
9631 N Nevada St. Suite 202
Spokane, WA 99218-1197
Phone (509) 467-1100
Other practice location 1
9631 N Nevada St. Suite 202
Spokane, WA 99218-1197
Phone (509) 467-1100
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1407258783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9631 N NEVADA ST. SUITE 202",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181197",
"telephone_number": "509-467-1100",
"fax_number": "509-468-0173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S 336TH ST STE 500",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038300",
"telephone_number": "206-962-3535"
}
],
"practiceLocations": [
{
"address_1": "9631 N Nevada St. Suite 202",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992181197",
"country_code": "US",
"telephone_number": "509-467-1100",
"fax_number": "509-468-0173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTTON",
"first_name": "JOSEPH",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-18",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60604531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.