JEROME C SUTHERLAND M.D. NPI 1023064706

NPI Information

NPI: 1023064706
Provider Name: JEROME C SUTHERLAND, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
500 E HAMPDEN AVE
ENGLEWOOD, CO
ZIP 80113
Phone: (303) 761-9190
Get Directions

Jerome C Sutherland, M.D. is a diagnostic radiology radiology in Englewood, CO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jerome C Sutherland, M.D. NPI is 1023064706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 E HAMPDEN AVE
ENGLEWOOD, CO
ZIP 80113-703
Phone: (303) 761-9190

The enumeration date for this NPI number is 5/25/2006 and was last updated on 2/11/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	14605	COLORADO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	053218601	MEDICAID	TEXAS
2	84-059792913	MEDICAID	NEBRASKA
3	300049155	OTHER	COLORADO	RR RIA MCRE
4	300090380	OTHER	COLORADO	RR MIC MCRE
5	C22194	MEDICARE PIN	COLORADO
6	01146059	MEDICAID	COLORADO
7	1023064706	MEDICAID	CALIFORNIA
8	1023064706	MEDICAID	WYOMING
9	104686392	MEDICAID	MICHIGAN
10	D28136	MEDICARE UPIN	COLORADO
11	200425440A	MEDICAID	KANSAS
12	99112107	MEDICAID	WISCONSIN
13	C211788	MEDICARE PIN	COLORADO
14	2315994	MEDICAID	LOUISIANA
15	920448	MEDICAID	ARIZONA
16	CW4148	MEDICARE PIN	COLORADO

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

NPI Synchronization or Removal

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