KATHLEEN LYNN SUGRUE MD NPI 1396277919

NPI Information

NPI: 1396277919
Provider Name: KATHLEEN LYNN SUGRUE, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
4363 ALL SEASONS DR STE 100
HILLIARD, OH
ZIP 43026
Phone: (614) 355-5900
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Kathleen Lynn Sugrue, MD is a pediatric emergency medicine pediatrics in Hilliard, OH. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Kathleen Lynn Sugrue, MD NPI is 1396277919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4363 ALL SEASONS DR STE 100
HILLIARD, OH
ZIP 43026-050
Phone: (614) 355-5900

The NPI 1396277919 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/2/2017 and was last updated on 2/14/2022.

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	2080P0204X	Pediatrics	Pediatric Emergency Medicine	35.138867	OHIO	Yes
2	208000000X	Pediatrics		35.138867	OHIO	No

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	0394341	MEDICAID	OHIO

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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