Active NPI
Ron William Sutton, C.O CERTIFIED ORTHO.
- Other Technician
- East Lansing, MI
National Provider Identifier
1407939697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 0-1338
- Practice address
- 200 Woodland Pass
Suite E
East Lansing, MI 48823-2000 - Phone
- (517) 333-0303
- Fax
- (734) 498-3133
- NPI assigned
- Oct 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 0-1338 | MI | Primary |
Addresses
Primary practice location
200 Woodland Pass
Suite E
East Lansing, MI 48823-2000
Mailing address
PO Box 80
Gregory, MI 48137-0080
Phone (517) 333-0304
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2913580 | Medicaid | MI | |
| 0944321 | Medicaid | OH |
Other names 1
- Mr. Ron W Sutton
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0-1338 | MI | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthotic & Prosthetic Professional Care LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Prosthetic/Orthotic Supplier
- East Lansing, MI
- NPI 1245310424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1407939697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80",
"city": "GREGORY",
"state": "MI",
"postal_code": "481370080",
"telephone_number": "517-333-0304",
"fax_number": "734-498-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WOODLAND PASS",
"address_2": "SUITE E",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488232000",
"telephone_number": "517-333-0303",
"fax_number": "734-498-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "RON",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "C.O CERTIFIED ORTHO.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": "0-1338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2913580",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0944321",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RON",
"last_name": "SUTTON",
"middle_name": "W",
"prefix": "MR.",
"credential": "ORTHOTIST CERT.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.