Individual provider Active NPI

Peter Raymond Sutter, D.O.

  • Obstetrics & Gynecology Physician
  • Barberton, OH
National Provider Identifier
1699759837
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34-00-4609-S Issued in OH
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000194995OtherOHBLUE CROSS/BLUE SHIELD
34194777527OtherOHCARESOURCE
0969055MedicaidOH
341106769COtherOHSUMMACARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031217000654 OH Practitioner - Obstetrics/Gynecology 4284531252 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group CurrentSince May 28, 2021 Accepting new patients
Partners Physician Group CurrentSince May 28, 2021 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.

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

Verify at the official NPI Registry.