Peter J Sukin, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME110770 Issued in FL

Practice address

379 6TH Ave W
Bradenton, FL 34205-8820

Phone

(941) 782-4100

Fax

(941) 782-4101

NPI assigned

Mar 15, 2006

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

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centerstone of Florida, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bradenton, FL
  • NPI 1144251638

  FL

  Medicare reassignment NPD
• Centerstone of Florida, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sarasota, FL
  • NPI 1033789052
  NPD (past)
• Peter J Sukin MD Inc LLC

  • Prescribing (Medical) Psychologist
  • N Charleston, SC
  • NPI 1851575252
  NPD (past)
• The Mary Jenkins Center for Behavioral Health LLC

  • Psychiatry Physician
  • North Charleston, SC
  • NPI 1205979630

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1932178787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9478",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342069478",
            "telephone_number": "941-782-4299",
            "fax_number": "941-782-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 6TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058820",
            "telephone_number": "941-782-4100",
            "fax_number": "941-782-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKIN",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME110770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005634900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Diane Stuntz, DNP, APRN, FNP-BC
• Ciara Suarez, LMHC
• Richard T. Suba, RPH.
• Robert J Subbiondo, MD
• Aaron Matthew Sudbury, M.D.
• Jackson Lee Sullivan, D.D.S., PA
• Natasha Sullivan
• Todd Joseph Sullivan, PT, PCS
• Summerfield Retirement Residence, LTD.
• Summerfield Senior Living, LLC

• All providers in Bradenton, FL
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.