DR. DAVID WAYNE SUETHOLZ M.D. NPI 1811950256

NPI Information

NPI: 1811950256
Provider Name: DR. DAVID WAYNE SUETHOLZ, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
2378 GRANDVIEW DR
FORT MITCHELL, KY
ZIP 41017
Phone: (859) 341-1122
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DR. David Wayne Suetholz, M.D. is a family medicine in Fort Mitchell, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. David Wayne Suetholz, M.D. NPI is 1811950256. 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:

2378 GRANDVIEW DR
FORT MITCHELL, KY
ZIP 41017-633
Phone: (859) 341-1122
Fax: (859) 341-1171

The enumeration date for this NPI number is 4/7/2006 and was last updated on 3/15/2017.

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	207Q00000X	Family Medicine		18013	KENTUCKY	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
1	64180136	MEDICAID	KENTUCKY
2	0364956	MEDICARE PIN	KENTUCKY
3	0280360	MEDICAID	OHIO
4	C70944	MEDICARE UPIN	KENTUCKY
5	080179278	MEDICARE PIN	KENTUCKY

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: 5/5/2024

NPI Synchronization or Removal

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