Earle Ward Sudderth,Jr., M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

009381 Issued in LA

Practice address

920 Huey P Long Ave
Gretna, LA 70053-6214

Phone

(504) 421-9654

Fax

(504) 366-0892

NPI assigned

Feb 1, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1233446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233446400000",
    "number": "1689812463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 HUEY P LONG AVE",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700536214",
            "telephone_number": "504-421-9654",
            "fax_number": "504-366-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 HUEY P LONG AVE",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700536214",
            "telephone_number": "504-421-9654",
            "fax_number": "504-366-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDDERTH,JR.",
        "first_name": "EARLE",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-01",
        "last_updated": "2009-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "009381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Gretna, LA
• Providers in Gretna, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2009; 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.