DR. ROGER CARLISLE SUTTLE JR (NPI# 1033413489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033413489 |
| Entity Type | Individual |
| Full Name | DR. ROGER CARLISLE SUTTLE JR |
| Credential | M.D. |
| Practice Address |
414 S 4th St Gadsden AL 35901-5215 |
| Practice Telephone | 2565439393 |
| Practice Fax Number | 2565468433 |
| Mailing Telephone | 2565439393 |
| Mailing Fax Number | 2565468433 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
MD.3266 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 6232 | 05 |
| Street Address |
414 S 4TH ST |
| City | GADSDEN |
| State | AL |
| Zip Code | 35901-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112878 | Rachel Hyatt | Counselor | 423 North 5th St, Gadsden, AL 35901 | 2020-07-27 |
| 1639651300 | Amy M Gorecki-kelley | Nurse Practitioner | 420 North Sixth Street Gadsden, Gadsden, AL 35901 | 2018-08-30 |
| 1659881829 | Fuller Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 412 S 3rd St Ste A, Gadsden, AL 35901 | 2017-10-02 |
| 1861901308 | Dana Calhoun | Counselor | 215 Walnut St Ste 2, Gadsden, AL 35901 | 2017-09-27 |
| 1104271857 | Prohealth Hospice-gadsden, LLC | Hospice Care, Community Based | 1115b Rainbow Drive, Gadsden, AL 35901 | 2016-05-02 |
| 1568801678 | Roseland Developmental Homes, LLC | Community/Behavioral Health | 404 Jacksonville Street, Gadsden, AL 35901 | 2013-06-21 |
| 1770875460 | Aniska Professional and Educational Services | Clinic/Center | 130 Aniska Drive, Gadsden, AL 35901 | 2011-05-12 |
| 1700186772 | Sam P. Spina | Hearing Instrument Specialist | 510 S. 3rd Street, Gadsden, AL 35901 | 2010-10-25 |
| 1588982573 | John Robert Walker | Anesthesiology | 200 Broad St Ste 300, Gadsden, AL 35901 | 2010-05-14 |
| 1316278880 | Partners Medical Clinic LLC | Family Medicine | 431 South 5th Street, Gadsden, AL 35901 | 2010-01-24 |
| Find all providers in zip 35901 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689082273 | Melanie L Petro, Md, LLC | Otolaryngology | 1995 Ves Trace Cir, Vestavia, AL 35216-1372 | 2014-07-27 |
| 1659637684 | Austin Adams | Otolaryngology | 2700 Highway 280 S Ste 300w, Mountain Brk, AL 35223 | 2012-04-04 |
| 1649471012 | Carey Joseph Nease | Otolaryngology | 423 Medical Center Dr Sw, Fort Payne, AL 35968-3421 | 2007-05-31 |
| 1164599825 | Gustavo Adolfo Diaz | Otolaryngology | 411 N Section St Ste 5, Fairhope, AL 36532-2650 | 2006-11-29 |
| 1801989918 | R. Don Bryan, M.d. Pa | Otolaryngology | 1022 1st St North, Suite 203, Alabaster, AL 35007 | 2006-10-02 |
| 1235117607 | Jeffrey Scott Robertson | Otolaryngology | 2001 Providence Park, Birmingham, AL 35242-4680 | 2006-01-05 |
| 1023421468 | Alabama Ear, Nose & Throat Specialists, LLC | Otolaryngology | 302 Merchants Walk, Suite 100, Tuscaloosa, AL 35406-2290 | 2014-06-03 |
| 1275828659 | Imc Otolaryngology Facial Plastic & Reconstructive Surgery, P.C. | Otolaryngology | 3401 Medical Park Dr, Bldg 1, Suite 103, Mobile, AL 36693-3318 | 2011-06-14 |
| 1033357744 | Scott A. Charlton, Md, PC | Otolaryngology | 101 E Brunson St, Suite 102, Enterprise, AL 36330-2526 | 2009-02-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.