Active NPI
Erin Ebaugh Sukhu, MD
- Pediatrics Physician
- Garner, NC
National Provider Identifier
1497175616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2016-02585
- Practice address
- 1405 Timber Dr E
Garner, NC 27529-6926 - Phone
- (919) 779-6423
- Fax
- (919) 662-2021
- NPI assigned
- Apr 28, 2014
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 201412 | NC | |
| Pediatrics Physician | 208000000X | 2016-02585 | NC | Primary |
Addresses
Primary practice location
1405 Timber Dr E
Garner, NC 27529-6926
Mailing address
1921 Falls Valley Dr
Raleigh, NC 27615-3446
Phone (919) 872-0250
Other practice location 1
101 Manning Dr
North Carolina Children's Hospital
Chapel Hill, NC 27514-4220
Phone (919) 966-6669
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016-02585 | NC | MD | Pediatrics Physician |
| 201412 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trusted Doctors LLC | Pediatrics | Past | Accepting new patients |
| Trusted Doctors LLC | Pediatrics | Past | Accepting new patients |
| Trusted Doctors LLC | Pediatrics | Past | Accepting new patients |
| Trusted Doctors LLC | Pediatrics | Past | Accepting new patients |
| Trusted Doctors LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- erin.sukhu@annapeds.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Fairfax, VA
- NPI 1083793525
-
- Pediatrics Physician
- Edgewater, MD
- NPI 1265298657
-
- Pediatrics Physician
- Pasadena, MD
- NPI 1336905710
-
- Pediatrics Physician
- Chester, MD
- NPI 1639935026
-
- Pediatrics Physician
- Severna Park, MD
- NPI 1881450278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1497175616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 FALLS VALLEY DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153446",
"telephone_number": "919-872-0250",
"fax_number": "919-848-3054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 TIMBER DR E",
"city": "GARNER",
"state": "NC",
"postal_code": "275296926",
"telephone_number": "919-779-6423",
"fax_number": "919-662-2021"
}
],
"practiceLocations": [
{
"address_1": "101 Manning Dr",
"address_2": "North Carolina Children's Hospital",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275144220",
"country_code": "US",
"telephone_number": "919-966-6669",
"fax_number": "919-966-7490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUKHU",
"first_name": "ERIN",
"middle_name": "EBAUGH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "201412",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2016-02585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.