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DANIEL DAVID SUTPHIN MD NPI 1821254517


NPI Information

NPI: 1821254517
Provider Name: DANIEL DAVID SUTPHIN, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
2460 S PARKVIEW LOOP, SUITE 201
YUMA, AZ
ZIP 85364
Phone: (928) 336-1675
Get Directions

Daniel David Sutphin, MD is a plastic and reconstructive surgery surgery in Yuma, AZ with 20 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Daniel David Sutphin, MD NPI is 1821254517. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2004

The provider's business location address is:

2460 S PARKVIEW LOOP, SUITE 201
YUMA, AZ
ZIP 85364-358
Phone: (928) 336-1675
Fax: (928) 336-1676

The NPI 1821254517 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 8/1/2008 and was last updated on 4/5/2018.


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
12086S0122XSurgeryPlastic and Reconstructive SurgeryMD2012-0616NEW MEXICONo
22086S0122XSurgeryPlastic and Reconstructive Surgery45114TENNESSEENo
32086S0122XSurgeryPlastic and Reconstructive Surgery54960ARIZONAYes

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
177456751MEDICAIDNEW MEXICO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.