DR. REGINALD MORTIMER SUTTON (NPI# 1174764708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174764708 |
| Entity Type | Individual |
| Full Name | DR. REGINALD MORTIMER SUTTON |
| Credential | M.D. |
| Practice Address |
4616 N 51st Ave Suite 103 Phoenix AZ 85031-1716 |
| Mailing Address |
5476 E.ron Rico Rd Cave Creek AZ 85331 |
| Practice Telephone | 6238499000 |
| Practice Fax Number | 6238499377 |
| Mailing Telephone | 4804880747 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2013-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
29166 | AZ | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
ME8059 | FL | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
130142-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
4616 N 51ST AVE SUITE 103 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85031-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649230616 | Frances Aragon | Counselor | 4616 N 51st Ave, Suite 203, Phoenix, AZ 85031-1721 | 2006-03-24 |
| 1326555376 | Terros Inc | Clinic/Center | 4616 N 51st Ave, Phoenix, AZ 85031-1716 | 2017-12-29 |
| 1154732840 | Az Healthy Permanente Management Group, Inc | Family Medicine | 4616 N 51st Ave, Suite 102, Phoenix, AZ 85031-1716 | 2014-05-15 |
| 1083039481 | Cynthia Hinojosa | Naturopath | 4616 N 51st Ave, Ste 103, Phoenix, AZ 85031-1716 | 2014-02-22 |
| 1083944805 | Smi Imaging, LLC | Radiology | 4616 N 51st Ave, Suite 104, Phoenix, AZ 85031-1716 | 2009-12-29 |
| 1003061862 | Planned Parenthood | Clinic/Center | 4616 N 51st Ave, Suite 210, Phoenix, AZ 85031-1716 | 2008-11-20 |
| 1467642306 | Michelle Hargis | Physical Therapist | 4616 N 51st Ave, 106, Phoenix, AZ 85031-1716 | 2007-07-26 |
| 1275658940 | Paul Joseph Gagne | Physical Therapist | 4616 N 51st Ave, Phoenix, AZ 85031-1716 | 2007-03-20 |
| 1932269008 | William T. Holland Md PC | Internal Medicine | 4616 N 51st Ave, Ste 203b, Phoenix, AZ 85031-1716 | 2006-12-11 |
| 1114087293 | William T. Holland | Internal Medicine | 4616 N 51st Ave, Ste. 203b, Phoenix, AZ 85031-1721 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508256629 | Jessica Watson | Physical Therapy Assistant | 4110 N 108th Ave, Suite 103, Phoenix, AZ 85031 | 2015-01-27 |
| 1043518707 | Lisette V Hill | Nurse Practitioner | 3802 N 53rd Avenue, Suite 160, Phoenix, AZ 85031 | 2011-03-04 |
| 1760785778 | Unlimited Smiles | Dentist | 4805 West Thomas, Suite #a, Phoenix, AZ 85031 | 2010-12-13 |
| 1043526817 | Atul J Amin | Pharmacist | 5102 W Indian School Rd (walgreens), Phoenix, AZ 85031 | 2010-08-31 |
| 1396064663 | Akdhc, LLC | Internal Medicine | 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 | 2010-05-25 |
| 1629397583 | Scott Anthony Effinger | Pharmacist | 4616 N. 51st Avenue, Suite 203, Phoenix, AZ 85031 | 2010-05-18 |
| 1912237397 | Albert Potter | Counselor | 5043 W. Campbell Ave., Phoenix, AZ 85031 | 2010-01-06 |
| 1649434887 | Mahmoud Azmi Mahafzah | Internal Medicine | 5251 W Campbell Ave Ste 204, Phoenix, AZ 85031 | 2008-07-16 |
| 1427253335 | Evelyn Tan Omana-roldan | Family Medicine | 4700 N. 51st Avenue, Suite 1, Phoenix, AZ 85031 | 2007-06-19 |
| 1255416103 | Chicanos Por La Causa Inc | Clinic/Center | 4602 W. Indian School Rd., Cplc Centro De La Familia, Phoenix, AZ 85031 | 2006-10-26 |
| Find all providers in zip 85031 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073148326 | Team Select Mobile Physicians Az LLC | Family Medicine | 2999 N 44th St Ste 110, Phoenix, AZ 85018-7247 | 2020-03-06 |
| 1366796773 | Medical Group of Arizona, LLC | Family Medicine | 13430 N. Black Canyon Highway, Suite 100, Phoenix, AZ 85029-1310 | 2012-11-07 |
| 1851612329 | Lake Mi Mobile Doctors, P.C. | Family Medicine | 2345 E. Thomas Rd, Suite # 420, Phoenix, AZ 85016 | 2010-06-18 |
| 1265617013 | Shelly R Myers | Family Medicine | 4520 N 12th St, Suite #103, Phoenix, AZ 85014-4233 | 2007-12-28 |
| 1225236367 | Thomas J Cuomo Jr Md PC | Family Medicine | 13835 N Tatum Blvd # 9468, Phoenix, AZ 85032-5581 | 2007-07-10 |
| 1225132608 | Sona S Giknavorian | Family Medicine | 2345 E Thomas Rd Ste 420, Suite # 420, Phoenix, AZ 85016-7862 | 2006-09-07 |
| 1598702086 | Robin F Macdougall | Family Medicine | 4626 E. Shea Blvd, Suite C230, Phoenix, AZ 85028 | 2006-06-01 |
| 1205812757 | Thomas J Cuomo Jr | Family Medicine | 13835 N Tatum Blvd, 9615, Phoenix, AZ 85032-5581 | 2005-12-16 |
| 1710255088 | Mh7, LLC | Family Medicine | 4520 N 12th St, Suite 103, Phoenix, AZ 85014-4233 | 2011-12-01 |
| 1861624702 | John C. Lincoln, LLC | Family Medicine | 1668 W Glendale Ave, Suite 128, Phoenix, AZ 85021-8948 | 2009-08-11 |
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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.