Individual provider Active NPI

Timothy Sutton, MD, MPA, MA, CAS

  • Addiction Medicine (Preventive Medicine) Physician
  • Mansfield, OH
National Provider Identifier
1477871382
Registry record updated Feb 7, 2023
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 1128a(1) exclusion effective May 20, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
35135393 Issued in OH
Practice address
475 Lexington Ave
Mansfield, OH 44907-1501
Phone
(440) 666-5742
NPI assigned
May 17, 2010
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 036.141707 IL
Occupational Medicine Physician 2083X0100X 4301096588 MI
Occupational Medicine Physician 2083X0100X 35.135393CTR OH
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 35135393 OH Primary

Addresses

Primary practice location

475 Lexington Ave
Mansfield, OH 44907-1501

Mailing address

475 Lexington Ave
Mansfield, OH 44907-1501

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. Confirm with the OIG exclusions search.
Credentials
Master of Arts, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35135393OHMDAddiction Medicine (Preventive Medicine) Physician
036.141707ILMDOccupational Medicine Physician
4301096588MIMDOccupational Medicine Physician
35.135393CTROHMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Firelands Regional Medical Center Single Specialty Current Accepting new patients

Locations

292 Benedict Ave
Norwalk, OH 44857
Phone (419) 663-3737

5420 Milan Rd
Sandusky, OH 44870
Phone (419) 557-5052

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1477871382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071501",
            "telephone_number": "440-666-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "TIMOTHY",
        "credential": "MD, MPA, MA, CAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IL",
            "license": "036.141707",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MI",
            "license": "4301096588",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "35.135393CTR",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35135393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.