DR. RUSSELL RAYMOND SUDA SR. (NPI# 1982730636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982730636 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL RAYMOND SUDA SR. |
| Practice Address |
300 Mooresville Road Kannapolis NC 28081-0304 |
| Practice Telephone | 7049201000 |
| Practice Fax Number | 7049201002 |
| Mailing Telephone | 7049201000 |
| Mailing Fax Number | 7049201002 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 200301416 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS ID# | 135TU | 01 |
| NC | 89135TU | 05 |
| Street Address |
300 MOORESVILLE ROAD |
| City | KANNAPOLIS |
| State | NC |
| Zip Code | 28081-0304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356485536 | Anette Solmaz | Nurse Practitioner | 300 Mooresville Road, Kannapolis, NC 28081-0304 | 2007-02-19 |
| 1003057969 | Sonja Jo Bohannon-thacker | Social Worker | 300 Mooresville Road, Kannapolis, NC 28081-0304 | 2009-03-23 |
| 1497991558 | Cynthia Sue Walker | Dietitian, Registered | 300 Mooresville Road, Kannapolis, NC 28081-0304 | 2008-12-19 |
| 1134379746 | Cheryl B. Moorefield | Nurse Practitioner | 300 Mooresville Road, Kannapolis, NC 28081-0304 | 2008-09-19 |
| 1346379260 | Public Health Authority of Cabarrus County | Clinic/Center | 300 Mooresville Road, Kannapolis, NC 28081-0304 | 2007-03-05 |
| 1295862399 | June C. Almond | Nurse Practitioner | 300 Mooresville Road, Kannapolis, NC 28081-0304 | 2007-02-27 |
| 1568599801 | Valerie Adele Sakach | Pediatrics | 300 Mooresville Road, Kannapolis, NC 28081-0304 | 2007-02-27 |
| 1558498972 | Public Health Authority of Cabarrus County | Clinic/Center | 300 Mooresville Road, Kannapolis, NC 28081-0304 | 2007-02-27 |
| 1487780383 | Lilly May Wilson | Nurse Practitioner | 300 Mooresville Road, Kannapolis, NC 28081-0304 | 2007-02-26 |
| 1235265208 | Linny Baker | Pediatrics | 300 Mooresville Road, Kannapolis, NC 28081-0304 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678315 | Cabarrus Al Holdings, LLC | Non-emergency Medical Transport (VAN) | 4968 Milestone Ave, Kannapolis, NC 28081 | 2019-06-18 |
| 1245755222 | Jennifer Ann Drisker | Social Worker | 119 West Avenue, Kannapolis, NC 28081 | 2017-08-10 |
| 1720539059 | Bonnie Knox | Non-emergency Medical Transport (VAN) | 902 South Main St, Kannapolis, NC 28081 | 2016-10-21 |
| 1659643880 | Jonathan Redmond | Occupational Therapy Assistant | 7555 Tuckaseegee Rd, Kannapolis, NC 28081 | 2012-02-03 |
| 1245465145 | Margot C Dragon | Acupuncturist | 7560 Crestwood Drive, Kannapolis, NC 28081 | 2009-05-20 |
| 1154542124 | Robert Lee Dayvault Jr. | Pharmacist | 1113 N. Main St., Kannapolis, NC 28081 | 2007-05-01 |
| 1265573745 | Cardinal Innovations Healthcare Solutions | Community/Behavioral Health | 4855 Milestone Avenue, Kannapolis, NC 28081 | 2007-02-09 |
| 1245331016 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 135 Dale Earnhardt Boulevard, Kannapolis, NC 28081 | 2006-09-26 |
| 1003844887 | Randal G Troutman | Chiropractor | 1715 S. Main Street, Kannapolis, NC 28081 | 2006-06-29 |
| 1457332728 | James M Bowman | Pharmacist | 1113 N Main St, Kannapolis, NC 28081 | 2005-11-14 |
| Find all providers in zip 28081 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755057 | Holly Springs Ob/gyn, P.a. | Obstetrics & Gynecology | 104 Conway Ct, Cary, NC 27513-9400 | 2020-09-17 |
| 1184244881 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 150 Professional Park Dr Ste 200, Mooresville, NC 28117-5604 | 2020-04-22 |
| 1154940294 | Atrium Health North Market Network LLC | Obstetrics & Gynecology | 294 N Nc 16 Business Hwy, Denver, NC 28037-8011 | 2020-04-09 |
| 1649899782 | Atrium Health North Market Network LLC | Obstetrics & Gynecology | 101 E Wt Harris Blvd Ste 5002, Charlotte, NC 28262-3588 | 2020-04-09 |
| 1528617362 | Arboretum Obstetrics & Gynecology | Obstetrics & Gynecology | 3125 Springbank Ln Ste B, Charlotte, NC 28226-3379 | 2019-09-04 |
| 1346895489 | Benjamin Chi | Obstetrics & Gynecology | 111 Mason Farm Rd # 4300b, Chapel Hill, NC 27599-6136 | 2019-08-06 |
| 1265903256 | Albemarle Physician Services - Sentara, Inc | Obstetrics & Gynecology | 701 Luke St Ste D, Edenton, NC 27932-9680 | 2018-12-17 |
| 1396212080 | Fatima Sayyeda Ahmed | Obstetrics & Gynecology | 4904 Majestic Prince Ct, Raleigh, NC 27606-4269 | 2018-10-31 |
| 1174016711 | Moses Cone Physician Services, Inc. | Obstetrics & Gynecology | 520 Maple Ave Ste C, Reidsville, NC 27320-4600 | 2018-06-08 |
| 1467975672 | James Louis Price IIi | Obstetrics & Gynecology | 7830 Masonboro Sound Rd, Wilmington, NC 28409-2671 | 2017-07-19 |
| Find all providers with the same taxonomy | ||||
| City | KANNAPOLIS |
| Zip Code | 28081 |
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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.