JENNIFER LYN SUTHERLAND


Address: 28 Crescent St, Middletown, CT 06457-3654
Phone: 8603584820

JENNIFER LYN SUTHERLAND (NPI# 1063621829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063621829
Entity Type Individual
Full Name JENNIFER LYN SUTHERLAND
Credential M.D., M.P.H
Practice Address 28 Crescent St
Middletown
CT 06457-3654
Mailing Address 250 Flat Rock Pl
2nd Fl
Westbrook
CT 06498-1565
Practice Telephone 8603584820
Practice Fax Number 8603588661
Mailing Telephone 8603583640
Mailing Fax Number 8603588656
Enumeration Date 2007-05-21
Last Update Date 2017-04-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 051698 CT Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 232049 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 008050305 05

Other Providers JENNIFER SUTHERLAND

NPI Name Taxonomy Address Enumeration
1255811063 Jennifer Sutherland Physical Therapy Assistant 724 W. Rendon Crowley Rd, Fort Worth, TX 76036 2018-08-21
1881085389 Jennifer Ann Sutherland Physician Assistant 8645 Stevens Ave S, Bloomington, MN 55420-2947 2015-02-05
1720270903 Jennifer Kaye Sutherland Chiropractor 1109 Rainbow Trout Cir, Columbia, MO 65203-6493 2007-08-13
1518579051 Jennifer Moore Sutherland Pharmacist 600 Main St, Munfordville, KY 42765-9424 2020-08-17
1215558606 Jennifer Lee Sutherland Nurse Practitioner 1181 Langford Dr Ste 103, Watkinsville, GA 30677-7242 2020-04-27
1215448055 Jennifer Lynn Sutherland Psychologist 350 Poplar Dr, Petersburg, VA 23805-9367 2017-10-19
1053693796 Jennifer Sutherland Counselor 1127 N Oakley Blvd, 3rd Floor, Chicago, IL 60622-3507 2011-09-19
1003947052 Jennifer V Sutherland Occupational Therapist 1004 S Old Dixie Hwy, Jupiter, FL 33458-7200 2007-03-08
1366570780 Jennifer Sutherland Psychologist 1563 Montauk Hwy, Oakdale, NY 11769-1322 2007-02-28
1285789701 Jennifer Kathryn Sutherland Psychologist 101 Wind Haven Dr, Suite 202, Nicholasville, KY 40356-8035 2007-01-24

Office Location

Street Address 28 CRESCENT ST
City MIDDLETOWN
State CT
Zip Code 06457-3654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790788859 Eric B Neadel Physician Assistant 28 Crescent St, Middletown, CT 06457-3654 2005-05-23
1861001729 Adrianne Lynn Wyckoff Registered Nurse 28 Crescent St, Middletown, CT 06457-3650 2020-07-27
1639791577 Peder Johnsen Nurse Practitioner 28 Crescent St, Middletown, CT 06457-3654 2020-05-14
1275171530 Lisa Ann Tringali Recreation Therapist 28 Crescent St, Middletown, CT 06457-3654 2019-12-18
1528600160 Antonella Rosa Sferrazza Counselor 28 Crescent St, Middletown, CT 06457-3654 2019-10-15
1548801830 Michael Tammaro Physician Assistant 28 Crescent St, Middletown, CT 06457-3654 2019-10-08
1699240705 Mary Theresa Doyle Social Worker 28 Crescent St, Middletown, CT 06457-3650 2018-10-05
1649761040 Emily Eklof Nurse Practitioner 28 Crescent St, Middletown, CT 06457 2018-05-22
1285141077 Christine O'grady Social Worker 28 Crescent St, Middletown, CT 06457-3654 2018-01-03
1871022293 Jacqueline Mary Atkinson Physician Assistant 28 Crescent St, Middletown, CT 06457-3654 2017-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699391961 Meghan Harrington Behavior Technician 101 Centerpoint Drive #243, Middletown, CT 06457 2020-06-22
1427619626 Collaborative Aba Services, LLC Behavioral Analyst 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 2019-06-27
1376100339 Kimberly Tynik Pharmacist 451 Fowler Ave, Middletown, CT 06457 2019-05-24
1184101263 Tabrez Adil Dentist 675 Main St., Middletown, CT 06457 2018-07-23
1326535337 Rehan Khan Non-emergency Medical Transport (VAN) 765 Country Club Rd, Middletown, CT 06457 2018-04-16
1366950206 State of Connecticut Psychiatric Hospital 70 O'brien Drive, Middletown, CT 06457 2018-01-12
1902324536 Cynthia Tine Physical Therapy Assistant 628 Congdon Street, Middletown, CT 06457 2017-09-04
1619494390 Nathan Douglas Roy Specialist/Technologist 431 Briarwood Lane, Middletown, CT 06457 2017-08-24
1598286502 Rachel Hoffman Whelen Registered Nurse 420 Saybrook Road, Suite A, Middletown, CT 06457 2017-06-29
1003358326 Rebecca Rotondo Social Worker 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 2016-11-17
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932748746 Khalilah Williams-perry Family Medicine 20 Tammy Dr, Middletown, NY 10941-2052 2019-12-26
1215593611 Northern Medical Center, Inc Family Medicine 14 Jason Place, Suite 201, Middletown, NY 10940 2019-05-13
1841787652 Southcoast Physicians Group, Inc. Family Medicine 670 Aquidneck Avenue, Middletown, RI 02841 2018-04-17
1952832164 Emmet Theodore Fenichel Family Medicine 18 Leonardville Rd, Middletown, NJ 07748-2311 2017-03-21
1346604774 Austin James Williams Family Medicine 6147 State Route 122, Ste 200, Middletown, OH 45005-5201 2016-04-12
1174965412 Home Medical Office, P.C. Family Medicine 18 Orchard St Ste 100, Middletown, NY 10940-5005 2013-07-29
1801121991 Pamela Jean Hanson Family Medicine 4421 Roosevelt Blvd Ste A, Middletown, OH 45044-9024 2009-10-07
1053542068 Jenny Q. Lu, M.d., Pllc Family Medicine 75 Crystal Run Rd Ste 105, Middletown, NY 10941-7003 2009-08-07
1396974556 Mvhe Inc Family Medicine 253 N Breiel Blvd, Middletown, OH 45042-3807 2009-07-09
1073794665 Zoila Cartaya Family Medicine 345 Stony Ford Rd, Middletown, NY 10941-3952 2007-11-25
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Competitor

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City MIDDLETOWN
Zip Code 06457

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Dataset Information

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.

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