Robert B Sutherland, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2902 Issued in WV

Practice address

1 Healthcare Dr
Philippi, WV 26416-9405

Phone

(304) 457-1760

Fax

(043) 457-1516

NPI assigned

Jun 2, 2008

Last updated

Jan 3, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Lake Erie College of Osteopathic Medicine, Erie, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broaddus Hospital Association Inc.Group PAC ID 5991692832, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vandalia Health Broaddus Hospital Hospital, Philippi, WV, CCN 511300
• Vandalia Health Broaddus Hospital Nursing home, CCN 51Z300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: roberts@wcmhwv.securechart.com

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.

• Broaddus Hospital Association, Inc.

  • Critical Access Hospital
  • Philippi, WV
  • NPI 1548246622
  Medicare reassignment Care Compare group NPD
• Webster County Memorial Hospital

  • Critical Access Hospital
  • Webster Springs, WV
  • NPI 1699778704
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Broaddus Hospital Association, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Philippi, WV
  • NPI 1104989466

  Nursing home

  Care Compare affiliation
• Broaddus Hospital Association, Inc.

  • Critical Access Hospital
  • Philippi, WV
  • NPI 1548246622
  Care Compare affiliation

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1891953261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HEALTHCARE DR",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264169405",
            "telephone_number": "304-457-1760",
            "fax_number": "043-457-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHCARE DR",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264169405",
            "telephone_number": "304-457-1760",
            "fax_number": "043-457-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "2902",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT012709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Sturm
• Heather Amber Sullivan
• Amanda B Summerfield, PA-C
• Marla Summerfield
• Mildred Marie Summerfield
• Makayla F Sweet
• Jessie Tacy
• Ronald Dale Talbott
• Stanley Edward Toompas, O.D.
• Paula Sue Townsend, MS,CCC/SLP

• Emergency Medicine Physician in Philippi, WV
• Providers in Philippi, WV by specialty
• Emergency Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.