DR. THOMAS LANE SUTTON (NPI# 1750319232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750319232 |
Entity Type | Individual |
Full Name | DR. THOMAS LANE SUTTON |
Credential | M.D. |
Practice Address |
1055 N 300 W Suite 110 Provo UT 84604-3344 |
Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
Practice Telephone | 8013571700 |
Mailing Telephone | 8013571700 |
Enumeration Date | 2006-06-30 |
Last Update Date | 2015-01-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 4822068-1205 | UT | Allopathic & Osteopathic Physicians |
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
4822068-1205 | UT | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578600607 | Thomas Sutton | Counselor | 9914 Millcreek Rd Se, Aumsville, OR 97325 | 2007-01-30 |
1508912791 | Thomas Lee Sutton | Physical Therapist | 602 Pruitt Road, Tektonic Athletic Development, Spring, TX 77386 | 2007-01-28 |
1548269319 | Thomas Park Sutton | Optometrist | 1130 Lake Plaza Dr, Suite 230, Colorado Springs, CO 80906-3594 | 2005-07-14 |
1568073807 | Thomas Sutton | Physical Therapist | 700 E Washington St, Medina, OH 44256-2126 | 2020-08-11 |
1154783363 | Thomas Lee Sutton | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2016-03-26 |
1851526768 | Thomas J Sutton | Pediatrics | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2009-05-20 |
1538364856 | Thomas G Sutton | Anesthesiology | 613 Campus Dr, Suite 100, Abingdon, VA 24210-9703 | 2007-06-18 |
1679695225 | Thomas Scott Sutton | Nurse Anesthetist, Certified Registered | 3217 Mabel St, Shreveport, LA 71103-4022 | 2007-04-04 |
1922047604 | Thomas Matthew Sutton | Pediatrics | 2530 Chicago Ave, Ste 500, Minneapolis, MN 55404-4291 | 2006-06-06 |
1407842990 | Thomas Lewis Sutton | Dentist | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2005-09-21 |
Street Address |
1055 N 300 W SUITE 110 |
City | PROVO |
State | UT |
Zip Code | 84604-3344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851397491 | Paul Ferron Olson | Specialist | 1055 N 300 W, Ste 204, Provo, UT 84604-3374 | 2005-06-27 |
1215351416 | Jenny Coy | Nurse Practitioner | 1055 N 300 W, Ste 401, Provo, UT 84604-3306 | 2014-02-07 |
1356682553 | Andrea Lee Driggs | Nurse Practitioner | 1055 N 300 W, Suite 110, Provo, UT 84604-3344 | 2013-03-13 |
1003151853 | Sharla Morgan | Nurse Practitioner | 1055 N 300 W, Suite 212, Provo, UT 84604-3344 | 2012-12-05 |
1720356538 | Ihc Health Services Inc | Surgery | 1055 N 300 W, Ste 205, Provo, UT 84604-5044 | 2011-12-07 |
1053691246 | Steven Forsey | Audiologist | 1055 N 300 W, Ste 401, Provo, UT 84604-3344 | 2011-08-19 |
1417241704 | Ihc Health Services Inc | Psychiatry & Neurology | 1055 N 300 W, Ste 501, Provo, UT 84604-3344 | 2011-06-03 |
1134435837 | George C Gourley, Do | Obstetrics & Gynecology | 1055 N 300 W, Suite 305, Provo, UT 84604-3344 | 2010-08-19 |
1972818185 | Joseph Evans Dansie | Audiologist | 1055 N 300 W, Suite 401, Provo, UT 84604-3344 | 2010-08-11 |
1619293552 | Charles Brent Stubbs | Pharmacist | 1055 N 300 W, Suite 201, Provo, UT 84604-3344 | 2010-04-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
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Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
1245369693 | Pediatric Gastroenterology and Nutrition, Inc. | Pediatrics | 5770 S 250 E Ste 330, Murray, UT 84107-8104 | 2007-03-03 |
1811992928 | Janet K Harnsberger | Pediatrics | 5770 S 250 E, Ste 330, Murray, UT 84107-8104 | 2005-06-15 |
1407210545 | University of Utah Pediatric Services | Pediatrics | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2016-04-05 |
1346595188 | Cottonwood Pediatric Gastroenterology | Pediatrics | 5770 S 250 E, Ste330, Murray, UT 84107-8100 | 2012-07-18 |
1831340231 | Raza Ali Patel | Pediatrics | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2008-10-02 |
1417036088 | William Daniel Jackson | Pediatrics | 100 Mario Capecchi Dr, Suite 2650, Salt Lake City, UT 84113-1103 | 2006-11-03 |
1033298609 | Linda S Book | Pediatrics | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2006-11-03 |
1023117843 | Steven Shi-fong Wu | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2006-09-21 |
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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.