JOHN DOUGLAS SUTTERLIN III (NPI# 1780636423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780636423 |
| Entity Type | Individual |
| Full Name | JOHN DOUGLAS SUTTERLIN III |
| Credential | MD |
| Practice Address |
7 S Alliance Dr Ste 211b Goose Creek SC 29445-7269 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7715 |
| Practice Telephone | 8435534383 |
| Practice Fax Number | 8435534384 |
| Mailing Telephone | 8435534383 |
| Mailing Fax Number | 8435534384 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 17955 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 179550 | 05 | |
| SC | RR MEDICARE | 080187342 | 01 |
| Street Address |
7 S ALLIANCE DR STE 211B |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-7269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407477797 | Ppcp Specialty Physicians, LLC | Internal Medicine | 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445-7297 | 2020-04-28 |
| 1457993677 | Ashley T. Wilson | Nurse Practitioner | 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445-7297 | 2019-10-09 |
| 1043873888 | Michael W. Phillips | Nurse Practitioner | 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445-7269 | 2019-04-17 |
| 1497272421 | Jayme Leigh Mason | Nurse Practitioner | 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445-7269 | 2017-08-30 |
| 1407140940 | Michael J. Colby | Physical Therapist | 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445-7297 | 2011-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1154564359 | Roper Saint Francis Physicians Network | Family Medicine | 120 Spring Hall Dr, Suite B, Goose Creek, SC 29445-5335 | 2009-04-17 |
| 1730359167 | Sylvia S Barnes | Family Medicine | 101 New Castle Loop, Goose Creek, SC 29445 | 2008-02-29 |
| 1073702957 | Primecare Family Practice LLC | Family Medicine | 145 St James Ave, Goose Creek, SC 29445-2923 | 2007-10-17 |
| 1144233735 | Titus Daniel Caddell Sr. | Family Medicine | 588 Old Mount Holly Rd, Goose Creek, SC 29445-2814 | 2006-08-14 |
| 1922015692 | Adebola E Rojugbokan | Family Medicine | 149 St James Ave, Goose Creek, SC 29445-2923 | 2006-08-02 |
| 1205877198 | Leah S Trantham | Family Medicine | 149 Saint James Ave, Goose Creek, SC 29445-2923 | 2006-06-09 |
| 1245271261 | Palmetto Primary Care Physicians | Family Medicine | 7 South Alliance Drive, Ste 201a, Goose Creek, SC 29445 | 2006-06-09 |
| 1336199629 | Lowcountry Medical Associates | Family Medicine | 110 Springhall Dr, Goose Creek, SC 29445-5335 | 2006-05-10 |
| 1215987474 | Lowcountry Medical Associates | Family Medicine | 120 Springhall Dr, Suite B, Goose Creek, SC 29445-5335 | 2006-05-10 |
| Find all providers in GOOSE CREEK | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
Please comment or provide details below to improve the information on JOHN DOUGLAS SUTTERLIN III.
| 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.