DR. PAUL W SUTHERLAND (NPI# 1649252511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649252511 |
| Entity Type | Individual |
| Full Name | DR. PAUL W SUTHERLAND |
| Credential | MD |
| Practice Address |
800 E Locust St Olney IL 62450-2553 |
| Mailing Address |
Po Box 97 Olney IL 62450-0097 |
| Practice Telephone | 6183957340 |
| Mailing Telephone | 6183957340 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2011-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036-060342 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0360603421 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578574505 | Paul Sutherland | Family Medicine | 101 Harris Drive, Kilmarnock, VA 22482 | 2006-08-11 |
| Street Address |
800 E LOCUST ST |
| City | OLNEY |
| State | IL |
| Zip Code | 62450-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174142665 | Samantha A Lewis | Speech-Language Pathologist | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-14 |
| 1972132991 | Clinton David Rauch | Occupational Therapist | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-02 |
| 1629607544 | Ladi Stallard | Physical Therapist | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-02 |
| 1770111999 | Kelsey Lynn Runyon | Physical Medicine & Rehabilitation | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-01 |
| 1801424957 | Katrina Williams | Occupational Therapist | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-01 |
| 1700414877 | Whitley Dawn Houchin | Physical Medicine & Rehabilitation | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-01 |
| 1073143475 | Arrow Ambulance, LLC | Ambulance | 800 E Locust St, Olney, IL 62450-2553 | 2020-01-24 |
| 1003452095 | Shay N Farris | Physical Medicine & Rehabilitation | 800 E Locust St, Olney, IL 62450-2553 | 2019-11-25 |
| 1043861883 | Kelsie Ann Harper | Occupational Therapist | 800 E Locust St, Olney, IL 62450-2553 | 2019-09-23 |
| 1376195768 | Lifenet, Inc. | Ambulance | 800 E Locust St, Olney, IL 62450-2553 | 2019-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851530091 | Donna Harris | Counselor | 515 West St. John Street, Olney, IL 62450 | 2009-02-11 |
| 1942476908 | Christa Dawn Jennette | Private Vehicle | 1113 Keiffer Dr, Olney, IL 62450 | 2008-04-30 |
| 1942491162 | Marion County Horizon Center D/b/a Richland Manor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1066 West Main St, Olney, IL 62450 | 2007-08-05 |
| 1811100407 | Advanced Open Mri, Inc. | Clinic/Center | 605 East Main Street, Olney, IL 62450 | 2007-05-08 |
| 1548489958 | Frank Edward Gruber | Dentist | 1108 N East St, Olney, IL 62450 | 2007-04-24 |
| 1508084591 | Melvin Borja Escalona | Physical Therapist | 800 East Locust St., Olney, IL 62450 | 2007-04-23 |
| 1881769826 | Jeffrey Alan Kocher | Chiropractor | 731 S West St, Olney, IL 62450 | 2006-11-22 |
| 1336211523 | Patricia Lynn Kessler Bookhout | Dentist | 1104 North East, Olney, IL 62450 | 2006-11-14 |
| 1639159015 | Bowers Drug Store Inc | Pharmacy | 205 E Main, Olney, IL 62450 | 2006-01-20 |
| 1336137199 | South Eastern Illinois Counseling Center Inc | Counselor | 504 Micah Drive, Drawer M, Olney, IL 62450 | 2005-10-06 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619395290 | Jennifer Daniella Son | Surgery | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2014-04-01 |
| 1700063179 | Richland Memorial Hospital, Inc | Surgery | 800 E Locust St, Olney, IL 62450-2553 | 2008-01-28 |
| 1346258373 | Stephen E Reid Jr. | Surgery | 1200 N East St, Olney, IL 62450-2432 | 2006-08-04 |
| 1609833789 | Montgomery Surgical Associates, LLC | Surgery | 18111 Prince Philip Dr, T-12, Olney, MD 20832-1513 | 2006-05-01 |
| 1497746275 | Shawn Michael Tweedt | Surgery | 18111 Prince Philip Dr, B200, Olney, MD 20832-1513 | 2005-11-02 |
| 1821080839 | Arthur Fletchall Woodward Jr. | Surgery | 3416 Olandwood Ct, Suite 205, Olney, MD 20832-1372 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1841845047 | Barijuve Surgical LLC | Surgery | 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 | 2019-08-05 |
| 1164081782 | Sean Park | Surgery | 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 | 2019-06-07 |
| 1376014175 | Edwardsville Physicians Group LLC | Surgery | 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 | 2018-12-06 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1023513389 | Crystal Siyu Zhang | Surgery | 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 | 2018-03-28 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
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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.