Jamie Sutherell

MD | Pediatric Cardiology | Male

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Complete Profile:

Jamie Sutherell basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Jamie Sutherell
Credential :	MD
Gender :	Male

Business Address:

Jamie Sutherell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1465 S Grand Blvd Saint Louis, MO, 63104-1003 United States
Phone Number :	314-577-5380
Fax Number :	314-268-4141

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1477760585
NPI Entity Type :	Individual
First Enrolment Date :	17 May, 2007
Last Updated On :	12 Jan, 2021

Medicare Participation:

Jamie Sutherell participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9335291772
Medicare Enrollment ID :	I20090716000346
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Medical College Of Ohio
Graduation Year :	2002
Accepts Medicare?	Yes. Jamie Sutherell accepts medicare insurance.

Group Practice Association:

Jamie Sutherell is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jamie Sutherell is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Ssm Health Care Group	0143608372	564	1465 S Grand Blvd Saint Louis, MO - 631041003 Ph: 3145775641	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jamie Sutherell are as mentioned. Primary taxonomy code for Jamie Sutherell, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	2009011814	MO
2080P0202X	Pediatrics Pediatric Cardiology	No	35.088280	OH

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1465 S Grand Blvd Saint Louis, MO, 63104-1003 United States
Phone Number :	314-577-5380
Fax Number :	314-268-4141

Business Location:

Patients can refer following map for directions to Jamie Sutherell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.