Active NPI
Mary R Suchyta, MD
- Internal Medicine Physician
- Sandy, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 871766381204
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 871766381204 | UT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | 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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Logan, UT
- NPI 1033489505
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2018; 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.