DR. LORILEE SMITH SUTTER (NPI# 1114906435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114906435 |
Entity Type | Individual |
Full Name | DR. LORILEE SMITH SUTTER |
Other Name | DR. LORILEE JEAN SMITH |
Credential | MD |
Practice Address |
1429 College Ave Ste C Modesto CA 95350-4046 |
Practice Telephone | 2095241666 |
Practice Fax Number | 2095241558 |
Mailing Telephone | 2095241666 |
Mailing Fax Number | 2095241558 |
Enumeration Date | 2006-01-13 |
Last Update Date | 2013-08-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
G411548 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | NPI | 1114906435 | 01 |
Street Address |
1429 COLLEGE AVE STE C |
City | MODESTO |
State | CA |
Zip Code | 95350-4046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679577506 | Lawrence Remigi Sutter | Psychiatry & Neurology | 1429 College Ave, Ste C, Modesto, CA 95350-4057 | 2005-06-09 |
1306388087 | Gopika Gangupantula, Md, Inc. | Family Medicine | 1429 College Ave, Suite H, Modesto, CA 95350-4046 | 2016-11-10 |
1740582352 | Jarrod Bell | Physical Therapist | 1429 College Ave, Sute H, Modesto, CA 95350-4057 | 2010-12-02 |
1568780070 | Navneet Kaur Gill | Internal Medicine | 1429 College Ave, Suite L, Modesto, CA 95350-4057 | 2010-05-07 |
1043533961 | Core Therapy, Inc. | Physical Therapist | 1429 College Ave, Suite H, Modesto, CA 95350-4057 | 2010-03-05 |
1588819312 | Kanwal Khanna, M.d., Inc. | Internal Medicine | 1429 College Ave, Suite M, Modesto, CA 95350-4057 | 2008-11-20 |
1093989956 | Surendra Prasad Balgobind | Dentist | 1429 College Ave, Modesto, CA 95350-4057 | 2008-04-22 |
1063530749 | Shirley L Van | Dermatology | 1429 College Ave, Suite B, Modesto, CA 95350-4046 | 2007-03-27 |
1467593244 | Myron Roland Strasser Jr. | Dentist | 1429 College Ave, Suite J, Modesto, CA 95350-4057 | 2007-02-12 |
1891874913 | Mark A Zamora | Physical Therapist | 1429 College Ave, Suite H, Modesto, CA 95350-4057 | 2006-11-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
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Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124435003 | Thein Swe | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2014-07-12 |
1285862573 | Michelle Lam Ching-wen Chu | Internal Medicine | 1541 Florida Ave Ste 200, Modesto, CA 95350-4438 | 2009-06-25 |
1588819312 | Kanwal Khanna, M.d., Inc. | Internal Medicine | 1429 College Ave, Suite M, Modesto, CA 95350-4057 | 2008-11-20 |
1386718971 | Win M. Lim | Internal Medicine | 4601 Dale Rd, Modesto, CA 95356-9718 | 2006-11-17 |
1013095827 | Karen A. Reardon | Internal Medicine | 4601 Dale Rd, Modesto, CA 95356-9718 | 2006-11-01 |
1487767182 | Kanwal Khanna | Internal Medicine | 1429 College Ave, Suite M, Modesto, CA 95350-4057 | 2006-08-16 |
1124050430 | Paul J Schunke | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841804572 | Shariar Cohen Md Corp | Internal Medicine | 566 Saint Charles Dr, Thousand Oaks, CA 91360-3953 | 2020-09-01 |
1538799309 | Ajay Nirula | Internal Medicine | 5171 Meadows Del Mar, San Diego, CA 92130-4855 | 2020-01-21 |
1659842532 | Harry Edward Gruber | Internal Medicine | 4511 Rancho Del Mar Trl, San Diego, CA 92130-5207 | 2018-12-17 |
1124596556 | Arthritis and Rheumatic Care Clinic, Inc. | Internal Medicine | 1401 N Palm Canyon Dr Ste 103, Palm Springs, CA 92262-4434 | 2018-11-03 |
1235629338 | Carewell Medical Group Inc | Internal Medicine | 18419 Us Highway 18 Ste 1, Apple Valley, CA 92307-2333 | 2018-05-14 |
1336641992 | Prohealth Partners A Medical Group | Internal Medicine | 26700 Towne Centre Dr Ste 165, Foothill Ranch, CA 92610-2845 | 2018-02-28 |
1699291765 | Peter James Lloyd Md Inc | Internal Medicine | 2251 Montgomery Ave, Cardiff, CA 92007-1913 | 2017-08-20 |
1285155010 | David Alexandre Chetrit | Internal Medicine | 757 Westwood Plaza, Rheumatology, Los Angeles, CA 90095-6130 | 2017-07-01 |
1447791181 | Ross Stephen Howard | Internal Medicine | 936 Harbor View Dr, San Diego, CA 92106-2438 | 2017-03-14 |
1295286714 | Tharaknath Rao | Internal Medicine | 14767 Calle Carla, Rancho Santa Fe, CA 92067 | 2016-10-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.