James Michael Sudimack, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35053601S Issued in OH

Practice address

1350 E Market St
Warren, OH 44483-6608

Phone

(330) 841-9011

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679514749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2774 TIMBER CREEK DR N",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836608",
            "telephone_number": "330-841-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDIMACK",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35053601S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0894975",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636064",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher P Stychno, DC
• Jeffrey Leonid Stychno, D.D.
• Nestor A Stychno, DC
• Rao Sudheendra, MD
• Sudhir G. Baji, M.D. , Inc.
• John J Suhar, PTA
• Laurissa Summerlin, CDCA
• Summit Academy Community School Warren
• Summit Academy Management
• Summitacademyschool-Warrenmiddle&Secondary

• Emergency Medicine Physician in Warren, OH
• Providers in Warren, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.