DR. ANGELA MARIE SUTTON (NPI# 1124361159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124361159 |
| Entity Type | Individual |
| Full Name | DR. ANGELA MARIE SUTTON |
| Credential | D.O. |
| Practice Address |
390 Office Ct Fairview Heights IL 62208-2059 |
| Practice Telephone | 6182337666 |
| Mailing Telephone | 6182337666 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 2018027246 | MO | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 036.145269 | IL | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
2018027246 | MO | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
036.145269 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1755 S Grand Blvd, Saint Louis, MO 631041540 | 3142563400 | |
| 3535 Olentangy River Rd, Columbus, OH 432143908 | 6145663322 | 6145661073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265529291 | Angela V Sutton | Internal Medicine | 70 Medical Center Cir Ste 107, Fishersville, VA 22939-2273 | 2006-10-10 |
| 1487289708 | Angela June Sutton | Dental Hygienist | 220 W Garfield Ave, Charlevoix, MI 49720-1631 | 2020-03-06 |
| 1144761149 | Angela R Sutton | Occupational Therapy Assistant | 2501 Allentown Rd, Pekin, IL 61554-9401 | 2017-03-10 |
| 1558806844 | Angela Sutton | Case Manager/Care Coordinator | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2016-12-22 |
| 1700237104 | Angela Sutton | Social Worker | 1716 E 30th Ave, Suite B, Hutchinson, KS 67502-1230 | 2016-06-27 |
| 1134514110 | Angela Sutton | Specialist | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2015-04-06 |
| 1477884823 | Angela A Sutton | Counselor | 223 E Main St, Suite 300, Rock Hill, SC 29730-4571 | 2010-01-26 |
| Street Address |
390 OFFICE CT |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip Code | 62208-2059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829647 | Stephanie Lynn Arzavala-reed | Counselor | 8.5 Canty Lane, Fairview Heights, IL 62208 | 2019-12-26 |
| 1649822156 | Preferred Behavioral Health | Community/Behavioral Health | 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 | 2019-07-15 |
| 1164929055 | Itic Support Services Inc | Psychiatry & Neurology | 141 Market Pl Ste 100, Fairview Heights, IL 62208 | 2018-04-09 |
| 1023525102 | Karen E. Reinacher | Speech-Language Pathologist | 21 Circle Dr., Fairview Heights, IL 62208 | 2018-01-10 |
| 1316465297 | Rachel Moser | Behavioral Analyst | 9510 St. Clair Ave, Fairview Heights, IL 62208 | 2017-08-31 |
| 1952826471 | Tomika Eiland | Social Worker | 413 David Dr, Fairview Heights, IL 62208 | 2017-08-05 |
| 1194113852 | Rachel Logan | Social Worker | 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 | 2015-01-05 |
| 1255746715 | Center for Advanced Medicine LLC | Internal Medicine | 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 | 2014-06-24 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1508118779 | Nicole Kovacic | Physical Therapy Assistant | 5501 Perrin Drive, Fairview Heights, IL 62208 | 2012-10-11 |
| Find all providers in zip 62208 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1063030252 | Vitalskin Medical Group Il Pllc | Dermatology | 1111 W Kenyon Rd, Urbana, IL 61801-1010 | 2020-07-14 |
| 1447873831 | Derick Dermatology, LLC | Dermatology | 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 | 2020-05-20 |
| 1346869393 | Julia Katsnelson Md Sc | Dermatology | 231 Olde Half Day Rd, Lincolnshire, IL 60069-2906 | 2020-04-10 |
| 1114551983 | Katherine Janezic | Dermatology | 7447 W Talcott Ave Ste 425, Chicago, IL 60631-3704 | 2020-03-02 |
| 1013559400 | Orsini Surgical Dermatology Sc | Dermatology | 1519 Legacy Cir, Naperville, IL 60563-3161 | 2019-10-17 |
| 1124675244 | Kiracofe Md Medical, LLC | Dermatology | 719 South Blvd # 2903, Oak Park, IL 60302-2903 | 2019-08-22 |
| 1366009664 | Derick Dermatology | Dermatology | 1900 Spring Rd Ste 210, Oak Brook, IL 60523-9063 | 2019-05-22 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1891257853 | Maria Estela Martinez Escala | Dermatology | 5841 S Maryland Ave Ste Mc5067, Chicago, IL 60637-1443 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
Please comment or provide details below to improve the information on DR. ANGELA MARIE SUTTON.
| 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.