DANIEL DAVID SUTPHIN


Address: 2460 S Parkview Loop, Suite 201, Yuma, AZ 85364-5358
Phone: 9283361675

DANIEL DAVID SUTPHIN (NPI# 1821254517) 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) 1821254517
Entity Type Individual
Full Name DANIEL DAVID SUTPHIN
Credential MD
Practice Address 2460 S Parkview Loop, Suite 201
Yuma
AZ 85364-5358
Mailing Address 2400 S Avenue A
Yuma
AZ 85364-7127
Practice Telephone 9283361675
Practice Fax Number 9283361676
Mailing Telephone 9283361802
Mailing Fax Number 9283367520
Enumeration Date 2008-08-01
Last Update Date 2018-04-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
54960 AZ Allopathic & Osteopathic Physicians
N 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
45114 TN Allopathic & Osteopathic Physicians
N 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
MD2012-0616 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM 77456751 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Medical Park Blvd, Suite 250w, Bristol, TN 376207430 4238446620 4238446626

Office Location

Street Address 2460 S PARKVIEW LOOP, SUITE 201
City YUMA
State AZ
Zip Code 85364-5358

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1710533211 Erika White Specialist/Technologist 3150 S Ave A, Yuma, AZ 85364 2019-08-12
1851950281 Yuma Advanced Surgical Suites LLC Clinic/Center 1030 W 24th Street Suite H, Yuma, AZ 85364 2019-06-10
1558846139 West Genevieve Home Care Home Health 1545 S 14th Ave, Com1, Yuma, AZ 85364 2018-09-28
1801375597 Rebecca L Conover Occupational Therapy Assistant Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 2018-08-13
1861984791 Thomas Francisco Burrell Pharmacist 1150 W 8th Street, Yuma, AZ 85364 2018-06-06
1356833834 Elizabeth Schlenner Nurse Practitioner 2637 S 34th Ave, Yuma, AZ 85364 2018-05-31
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174004162 Richard Gittings Parry Surgery 10602 W Cameo Dr, Sun City, AZ 85351-2708 2018-08-27
1972022093 Wound Management Solutions LLC Surgery 6900 E Camelback Road, Suite 900, Scottsdale, AZ 85251 2017-09-11
1396188033 Mark Gruszynski Surgery 8595 E Bell Rd Ste 103, Scottsdale, AZ 85260-1306 2013-04-11
1578862512 Joshua Jacob Tofield Surgery 5221 E Hill Place Dr, Tucson, AZ 85712-1348 2011-03-16
1831334861 Joshua Robert Olson Surgery 1482 E Williams Field Rd, Suite B101, Gilbert, AZ 85295-1816 2008-12-04
1275705188 Atanu Biswas Surgery 9401 W Thunderbird Rd Ste 140, Peoria, AZ 85381-4817 2008-03-31
1427253566 Apex Plastic Surgery Pllc Surgery 5656 S. Power Rd, Gilbert, AZ 85295-8491 2007-06-19
1144430182 Jason Lee Mussman Surgery 10240 W. Indian School Rd., Suite 115, Phoenix, AZ 85037 2007-05-22
1861615262 Remus Repta Surgery 3271 N Civic Center Plz Ste 105, Scottsdale, AZ 85251-6990 2007-04-11
1558402537 James Milton Nachbar Surgery 8896 E Becker Ln Ste 102, Scottsdale, AZ 85260-6281 2007-02-10
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Competitor

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City YUMA
Zip Code 85364

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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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