Organization Active NPI

Jesse O. Sutherland Jr., M.D.

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1982159166
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22563 Issued in CO
Legal business name
JESSE O. SUTHERLAND JR., M.D.
Practice address
2200 S Federal Blvd
Suite 4
Denver, CO 80219-5444
Phone
(303) 934-4862
Fax
(303) 937-7160
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Dr. Jesse O. Sutherland Jr., M.D.NPI 1700835220
Title
Physician/Owner
Phone
(303) 934-4862

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 22563 CO Primary

Addresses

Primary practice location

2200 S Federal Blvd
Suite 4
Denver, CO 80219-5444

Mailing address

2200 S Federal Blvd
Suite 4
Denver, CO 80219-5444
Phone (303) 934-4862

National Provider Directory

National Provider Directory

Locations

2200 S Federal Blvd
Unit 4
Denver, CO 80219
Phone (303) 934-4862

Practitioners & affiliated clinicians

Practitioners 1

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": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1982159166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S FEDERAL BLVD",
            "address_2": "SUITE 4",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195444",
            "telephone_number": "303-934-4862",
            "fax_number": "303-937-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S FEDERAL BLVD",
            "address_2": "SUITE 4",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195444",
            "telephone_number": "303-934-4862",
            "fax_number": "303-937-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE O. SUTHERLAND JR., M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "303-934-4862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "22563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.