Jeffrey Blaine Sutton, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34-00-7547-S Issued in OH

Practice address

1250 Youngstown Warren Rd
Sutie 1a
Niles, OH 44446-4612

Phone

(330) 544-1500

Fax

(330) 544-7988

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1477511939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 YOUNGSTOWN WARREN RD",
            "address_2": "SUTIE 1A",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464612",
            "telephone_number": "330-544-1500",
            "fax_number": "330-544-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 YOUNGSTOWN WARREN RD",
            "address_2": "SUTIE 1A",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464612",
            "telephone_number": "330-544-1500",
            "fax_number": "330-544-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "JEFFREY",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OH",
            "license": "34-00-7547-S",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-00-7547-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2378323",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy L Sturdevant, PT
• Amy Adel Sugar, NP-C
• Reagan K Suttles
• Sutton Internal and Physical Medicine Clinic, Inc
• Amy Sutton, SLP
• Angela Svirbely
• Amanda Sweeney
• Ashley Swegan
• Ahmed Ammar Junaid Syed, RPH
• Tawnyka Tabor

• Internal Medicine Physician in Niles, OH
• Providers in Niles, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.

Verify at the official NPI Registry.