Active NPI
William E Sutton, M.D.
- Family Medicine Physician
- Mount Vernon, IN
National Provider Identifier
1902879109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01030020A
- Practice address
- 813 E 4TH St
Suite a
Mount Vernon, IN 47620-2012 - Phone
- (812) 838-2139
- Fax
- (812) 838-9214
- NPI assigned
- Feb 8, 2006
- Last updated
- Jan 9, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01030020A | IN | Primary |
Addresses
Primary practice location
813 E 4TH St
Suite a
Mount Vernon, IN 47620-2012
Mailing address
PO Box 1510
Evansville, IN 47706-1510
Phone (812) 838-2139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100210180A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01030020A | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1902879109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477061510",
"telephone_number": "812-838-2139",
"fax_number": "812-838-9214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 E 4TH ST",
"address_2": "SUITE A",
"city": "MOUNT VERNON",
"state": "IN",
"postal_code": "476202012",
"telephone_number": "812-838-2139",
"fax_number": "812-838-9214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "WILLIAM",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01030020A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100210180A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, IN
- Jennifer Lynn Seagert, P.T.
- Derek M Solomon, DPT
- Alfred Duane Spears
- Virginia Chavez Stallman, COTA
- Kerrie Rochelle Suits, NP
- Alivia M Tekoppel, NP-C
- The Health and Hospital Corporation of Marion County (Mount Vernon Nursing and Rehabilitation)
- Cynthia Ann Townsend, PTA
- Beth Ann Tromley, PT
- David Keith Uebelhack, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.