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E. SUTPHEN MD LLC NPI 1144291659


NPI Information

NPI: 1144291659
Provider Name: E. SUTPHEN MD LLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 525-1688
Get Directions

E. SUTPHEN MD LLC is a radiation oncology radiology in Saint Louis, MO. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. E. SUTPHEN MD LLC NPI is 1144291659. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128-106
Phone: (314) 525-1688
Fax: (314) 525-1689

The provider's authorized official is Eric Sutphen .
The authorized official title is Delegated Official and has the following contact phone number (314) 525-1688.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 6/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyR2P24MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DC0795OTHERMISSOURIRAILROAD MEDICARE
2507584704MEDICAIDMISSOURI
3000014337MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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