Organization Active NPI

Cheryl Suiter MD PA

  • Obstetrics & Gynecology Physician
  • Lufkin, TX
National Provider Identifier
1962591131
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J7855 Issued in TX
Legal business name
CHERYL SUITER MD PA
Practice address
402 Gaslight Blvd
Lufkin, TX 75904-3123
Phone
(936) 699-7575
Fax
(936) 699-7576
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Cheryl Suiter, MDNPI 1093915142
Title
President
Phone
(936) 699-7575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X J7855 TX Primary

Addresses

Primary practice location

402 Gaslight Blvd
Lufkin, TX 75904-3123

Mailing address

PO Box 151420
Lufkin, TX 75915-1420
Phone (936) 699-7575

Other identifiers 2

IdentifierTypeStateIssuer
160043202OtherTXMEDICARE RAILROAD
113483501MedicaidTX

Other names 1

  • PINEYWOODS OB/GYN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140115000821 TX Part B Supplier - Clinic/Group Practice 5799913976 Receives reassigned benefits from 2 practitioners
Practice locations: Lufkin, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1962591131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151420",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759151420",
            "telephone_number": "936-699-7575",
            "fax_number": "936-699-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043123",
            "telephone_number": "936-699-7575",
            "fax_number": "936-699-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL SUITER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "SUITER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-699-7575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J7855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160043202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113483501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINEYWOODS OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.