Jerry Michael Sutton II

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2401 Belmont Ave
Youngstown, OH 44505-2405

Phone

(330) 743-1015

NPI assigned

Jun 7, 2018

Sex

Male

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

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1437642162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052405",
            "telephone_number": "330-743-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052405",
            "telephone_number": "330-743-1015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445021037",
            "country_code": "US",
            "telephone_number": "330-744-2991 x133",
            "fax_number": "330-744-2971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5982 Rhodes Rd",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "OH",
            "postal_code": "442408100",
            "country_code": "US",
            "telephone_number": "330-673-1347",
            "fax_number": "330-678-3677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "JERRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meri Joanna Surdoval-Fetkovich, MS, CSCS
• Surgical Associates of Youngstown
• Erica Leigh Susa, PHARMD
• Susan Woods MD Dermatology Inc
• Christopher Sutphin
• Amanda Elizabeth Svenson, PA-C
• Jessica Marie Svirbly, BSN, RN
• Andrea Lynn Svoboda, NP-C
• Karen Swain, RN
• Donna Swann

• Case Manager/Care Coordinator in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.