Jesse O Sutherland, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22563 Issued in CO

Practice address

2200 S Federal Blvd
Denver, CO 80219-5444

Phone

(303) 934-4862

Fax

(303) 937-7160

NPI assigned

May 10, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jesse O. Sutherland Jr., M.D.

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1982159166
  NPD (past) Authorized official

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1700835220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195444",
            "telephone_number": "303-934-4862",
            "fax_number": "303-937-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195444",
            "telephone_number": "303-934-4862",
            "fax_number": "303-937-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "JESSE",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "22563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01225630",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Lee Sutherland, MSW
• Everett Rand Sutherland, MD
• George Sutherland
• Griffin Sutherland, FNP-BC
• Jason D Sutherland, M.D.
• Kelci Sutherland, RD
• Kimberly Anne Sutherland, M.ED, CAC III
• Michelle Lynn Sutherland, PHARM D
• Michael Elliot Sutter, D.C.
• Autumn Lou Sutton

• Internal Medicine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.