Loubert S Suddaby MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

193722 Issued in NY

Legal business name

LOUBERT S SUDDABY MD PC

Practice address

3775 Southwestern Blvd
Suite a
Orchard Park, NY 14127-2159

Phone

(716) 667-1980

Fax

(716) 667-1982

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Loubert S Suddaby, MDNPI 1609869783

Title

Owner

Phone

(716) 667-1980

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loubert Steven Suddaby, MD

  • Neurological Surgery Physician
  • Hamburg, NY
  • NPI 1609869783
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750412136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 SOUTHWESTERN BLVD",
            "address_2": "SUITE A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272159",
            "telephone_number": "716-667-1980",
            "fax_number": "716-667-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 SOUTHWESTERN BLVD",
            "address_2": "SUITE A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272159",
            "telephone_number": "716-667-1980",
            "fax_number": "716-667-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUBERT S SUDDABY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUDDABY",
        "authorized_official_first_name": "LOUBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-667-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "193722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eribel Lopez Hernandez
• Elaine M Lopez, NP
• Lorianne E Pereira DO, PC
• Christina Lostracco-Stoll, FNP
• Loubert S Suddaby MD PC
• Kathleen Ellen Loughran, SLP
• Katharine Louzek, NP
• Elizabeth Love, M.D.
• Dominic Lovria, PHARM.D.
• Donna Lowman Delles, PT

• Specialist in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.