Sarah Elizabeth Sukhorukov, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10059 Issued in KY

Practice address

2441 State St Ste 1
New Albany, IN 47150-4962

Phone

(812) 941-8500

NPI assigned

Apr 26, 2018

Last updated

Apr 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1821586744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 DANZIG PL APT 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455548",
            "telephone_number": "502-322-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 STATE ST STE 1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504962",
            "telephone_number": "812-941-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKHORUKOV",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailee Rose Stroup
• Morgan Stubbins
• Madison Stults, RBT
• Kelsee Sturgeon
• Lauren Stutesman, MS, CCC-SLP
• Cathy Jo Summers, M.A. COUNSELING
• Megan Summers, PSYD
• Irish Sumner, RBT
• Shabbar Mustansir Sunel, MD
• Leah Sweets, MA, CCC-SLP

• General Practice Dentistry in New Albany, IN
• Providers in New Albany, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.

Verify at the official NPI Registry.