NPIMap

Individual provider Active NPI

Charles Sutherland, DO

  • Family Medicine Physician
  • Columbia, MO
National Provider Identifier
1619945300
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
113731 Issued in MO
Practice address
2101 Corona Rd Ste 102
Columbia, MO 65203-2582
Phone
(573) 234-1800
NPI assigned
Mar 9, 2006
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 113731 MO Primary

Addresses

Primary practice location

2101 Corona Rd Ste 102
Columbia, MO 65203-2582

Mailing address

2101 Corona Rd Ste 102
Columbia, MO 65203-2582
Phone (573) 234-1800

Other practice location 1

221 N Main St
Paris, MO 65275-1328
Phone (660) 327-6416

Other identifiers 1

IdentifierTypeStateIssuer
245101407MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Charles.Sutherland@BHM.gehrimeddirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070426000037 MO Practitioner - Family Practice 0244336956 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

216 W Main St
Steele, MO 63877-1436
Phone (573) 695-2181

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Medical & Diagnostic, LLC Current Accepting new patients
McPherson Medical & Diagnostic, LLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Barnes Health LLC CurrentSince Jul 25, 2023 Accepting new patients
Barnes Health Care Management Group LLC CurrentSince Oct 1, 2020 Accepting new patients
McPherson Medical & Diagnostic, LLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
The Estates of Spanish Lake, LLC Past Accepting new patients
Eastview Manor, Inc. Past Accepting new patients
McPherson Medical & Diagnostic, LLC Family Medicine Past Accepting new patients
The Estates of Perryville, LLC Past Accepting new patients
The Estates of St. Louis, LLC Past Accepting new patients
Chariton Park Health Care Center, LLC Past Accepting new patients
Parkway Health Care Center, L.L.C. Past Accepting new patients
Fair View Health Care Center, L.L.C. Past Accepting new patients
Mma Healthcare of Viburnum, Inc. Past Accepting new patients
John T Bopp PC Past Accepting new patients
Edgewood Manor Health Care Center, L.L.C. Past Accepting new patients
Bridgewood Health Care Center, L.L.C. Past Accepting new patients
Four Seasons Living Center, LLC Past Accepting new patients
Anew Healthcare Operations - Wellsville, LLC Past Accepting new patients
Columbia Manor Health & Rehabilitation LLC Past Accepting new patients
Heritage Care Center of Berkeley, LLC Past Accepting new patients
Nick's Health Care Center LLC Past Accepting new patients
North Village Park, LLC Past Accepting new patients
Gregory Ridge Health Care Center, L.L.C. Past Accepting new patients
N & R of South Hampton, LLC Past Accepting new patients
Rest Haven Health Care Center, L.L.C. Past Accepting new patients

Locations

2101 Corona Rd
Ste 102
Columbia, MO 65203
Phone (573) 234-1800

1734 Market St
Hannibal, MO 63401
Phone (573) 221-2930

223 S 3rd St
Hayti, MO 63851
Phone (573) 359-2019

1333 Scenic Dr
Herculaneum, MO 63048
Phone (636) 931-2995

11515 Troost Ave
Kansas City, MO 64131
Phone (813) 943-4104

621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300

304 Teaco Rd
Ste A
Kennett, MO 63857
Phone (573) 559-3591

2041 Silva Ln
Moberly, MO 65270
Phone (660) 263-1894

4401 N Hanley Rd
Saint Louis, MO 63134
Phone (314) 521-7471

2800 Highway TT
#Four
Sedalia, MO 65301
Phone (660) 826-8803

216 W Main St
Steele, MO 63877
Phone (573) 695-2181

216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181

1441 Charic Dr
Wildwood, MO 63021
Phone (636) 394-2522

Interoperability endpoints

  • Direct secure messaging: charles.sutherland@bhm.gehrimeddirect.com

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1619945300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CORONA RD STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032582",
            "telephone_number": "573-234-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CORONA RD STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032582",
            "telephone_number": "573-234-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 N Main St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "MO",
            "postal_code": "652751328",
            "country_code": "US",
            "telephone_number": "660-327-6416",
            "fax_number": "660-327-6217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "113731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245101407",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Charles.Sutherland@BHM.gehrimeddirect.com",
            "affiliation": "N",
            "address_1": "2101 Corona Rd Ste 102",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652032582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.