Keith Sue-Ling, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

21825 Issued in GA

Practice address

1349 Druid Park Ave
Augusta, GA 30904

Phone

(706) 733-7537

Fax

(706) 733-2774

NPI assigned

Jul 19, 2006

Last updated

Oct 27, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Keith Sue-Ling Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Keith Sue-Ling, MD., PC

  • Cardiovascular Disease Physician
  • Augusta, GA
  • NPI 1427438589
  Authorized official Same address or phone
• Radiation Oncology Associates

  • Radiation Oncology Physician
  • Augusta, GA
  • NPI 1831207992
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1730108846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 DRUID PARK AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-733-7537",
            "fax_number": "706-733-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 DRUID PARK AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-733-7537",
            "fax_number": "706-733-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUE-LING",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "21825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00203794",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEITH",
            "last_name": "SUE-LING",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bret Keenan Stysly, M.D.
• Jennifer Su, MD
• Luis Suarez Jr., M.D.
• Desiree Nicole Subyak, AGACNP-C
• Joseph Henry Suchomski, MD
• Christopher Sullivan, RN
• Kassidy Sullivan
• Katherine Moore Sullivan, RN BSN
• Kelly Sullivan
• Fakhra Tehreem Sultan, MD

• Cardiovascular Disease Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.