Clarissa Sugg, CNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

APRN.CNP.025915 Issued in OH

Practice address

1180 N Main St Ste 5
Bowling Green, OH 43402-4932

Phone

(419) 315-1225

NPI assigned

Nov 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Clarissa Smith Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clarissa.sugg.p1@direct.whc.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Promedica Central Physicians

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1043270150
  Medicare reassignment NPD
• Promedica Central Physicians

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
  • NPI 1669068482
  NPD
• Wood Health Company LLC

  • Family Medicine Physician
  • Bowling Green, OH
  • NPI 1598776916
  NPD
• Promedica Central Physicians

  • Clinic/Center
  • Toledo, OH
  • NPI 1568001352
  NPD (past)

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1629613732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3561 TRUMAN RD LOT 278",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435519569",
            "telephone_number": "419-280-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N MAIN ST STE 5",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024932",
            "telephone_number": "419-315-1225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2751 Bay Park Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436164922",
            "country_code": "US",
            "telephone_number": "419-690-7611",
            "fax_number": "419-690-7613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGG",
        "first_name": "CLARISSA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2023-11-03",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.025915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csmith111248@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CLARISSA",
            "last_name": "SMITH",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Annalise Margaret Stout
• Abbey Lynn Strausbaugh, LSW
• Brittany Strawman, D. D. S.
• John Willard Strawman V, DDS
• Steven R Stuhldreher, HIS
• Tiffany Marie Sullivan I
• Surgical Specialists of Bowling Green LLC
• Amanda Suter, MA, CCC/SLP
• Jennifer Svanberg
• Kelly Svoboda

• Family Medicine Physician in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.