Individual provider Active NPI

Mary R Suchyta, MD

  • Internal Medicine Physician
  • Sandy, UT
National Provider Identifier
1720199201
Registry record updated Nov 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
871766381204 Issued in UT
Practice address
9493 S 700 E
Sandy, UT 84070-3459
Phone
(801) 576-0176
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 871766381204 UT Primary

Addresses

Primary practice location

9493 S 700 E
Sandy, UT 84070-3459

Mailing address

1718 Herbert Ave
Salt Lake City, UT 84108-1830
Phone (801) 884-8297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
871766381204UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Sep 6, 2018 Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 6, 2018 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

280 N Main St
N Salt Lake, UT 84010
Phone (801) 270-4400

8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500

9493 S 700 E
Sandy, UT 84070
Phone (801) 270-4400

2000 S 900 E
Slc, UT 84105
Phone (801) 446-7786

3934 S 2300 E
Slc, UT 84124
Phone (801) 270-4400

3845 W 4700 S
West Valley City, UT 84129
Phone (801) 840-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543017600000",
    "number": "1720199201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 HERBERT AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081830",
            "telephone_number": "801-884-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9493 S 700 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703459",
            "telephone_number": "801-576-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCHYTA",
        "first_name": "MARY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "871766381204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.