Active NPI
Peter Raymond Sutter, D.O.
- Obstetrics & Gynecology Physician
- Barberton, OH
National Provider Identifier
1699759837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 34-00-4609-S
- Practice address
- 105 5TH St SE
Ste. 2
Barberton, OH 44203-4255 - Phone
- (330) 745-3428
- Fax
- (330) 745-7002
- NPI assigned
- Dec 1, 2005
- Last updated
- May 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 34-00-4609-S | OH | Primary |
Addresses
Primary practice location
105 5TH St SE
Ste. 2
Barberton, OH 44203-4255
Mailing address
105 5TH St SE
Ste. 2
Barberton, OH 44203-4255
Phone (330) 745-3428
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000194995 | Other | OH | BLUE CROSS/BLUE SHIELD |
| 34194777527 | Other | OH | CARESOURCE |
| 0969055 | Medicaid | OH | |
| 341106769C | Other | OH | SUMMACARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners Physician Group | Current | Accepting new patients | |
| Partners Physician Group | Current | Accepting new patients |
Locations
1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760
224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505
Organizations & group practices 3
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.
-
- Surgery Physician
- Akron, OH
- NPI 1841239274
-
- Obstetrics & Gynecology Physician
- Barberton, OH
- NPI 1730480088
-
dba Community Access and Wellness - HWE
- Public Health & General Preventive Medicine Physician
- Akron, OH
- NPI 1164814414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1699759837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 5TH ST SE",
"address_2": "STE. 2",
"city": "BARBERTON",
"state": "OH",
"postal_code": "442034255",
"telephone_number": "330-745-3428",
"fax_number": "330-745-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 5TH ST SE",
"address_2": "STE. 2",
"city": "BARBERTON",
"state": "OH",
"postal_code": "442034255",
"telephone_number": "330-745-3428",
"fax_number": "330-745-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTER",
"first_name": "PETER",
"middle_name": "RAYMOND",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "34-00-4609-S",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000000194995",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "34194777527",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0969055",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMACARE",
"identifier": "341106769C",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barberton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.