Shawn A Sutterlin in Johnson City - Physician Assistant
Shawn A Sutterlin - NPI 1891750097
Shawn A Sutterlin is a Physician Assistant in Johnson City, Tennessee. Shawn A Sutterlin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shawn A Sutterlin is 1891750097. The last update date is 2019-12-17.
Shawn A Sutterlin's current location address is 2410 Susannah St, Johnson City, Tennessee. You can contact this provider via phone number 4232829011. The mailing address for Shawn A Sutterlin is 2410 Susannah St, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn A Sutterlin |
|---|---|
| Address | 2410 Susannah St, Johnson City, Tennessee |
| Phone Number | 4232829011 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1891750097 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2019-12-17 |
Provider Mailing Address Detail
| Address | 2410 Susannah St |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376011748 |
| Phone Number | 4232829011 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA0000001123 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3662175 | TN | -- | |
| 1517435 | TN | -- | |
| 1891750097 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shawn A Sutterlin by the Centers for Medicare & Medicaid Services?
The Shawn A Sutterlin has been assigned the NPI (National Provider Identifier) 1891750097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Shawn A Sutterlin is physically located?
The Shawn A Sutterlin is physically situated at the following address: 2410 Susannah St, Johnson City, TN, 376011748.
What is the Shawn A Sutterlin's specialty and taxonomy code?
The Shawn A Sutterlin's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891750097 to Shawn A Sutterlin?
The Centers for Medicare & Medicaid Services originally issued the 1891750097 to Shawn A Sutterlin on 2006-04-19.
When was the information pertaining to Shawn A Sutterlin most recently updated or revised?
The details related to Shawn A Sutterlin, including its address, specialty, and other relevant information, were last updated or revised on 2019-12-17.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA