Kent S Sutterer (NPI# 1114964574, PAC ID# 3870543226) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE.
| Nation Provider ID (NPI) | 1114964574 |
| PAC ID by PECOS | 3870543226 |
| Professional Enrollment ID | I20050125000020 |
| Full Name | Kent S Sutterer |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC |
| Address |
2 Progress Point Ct O Fallon MO 63368-2208 |
| Phone Number | 6363441000 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 2001 |
| Primary Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE, FAMILY MEDICINE |
| Group Practice PAC ID | 5395643209 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260200 | SSM ST JOSEPH HOSPITAL WEST |
| 260219 | PROGRESS WEST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Progress Point Ct, O Fallon, MO 63368-2208 | 6363441000 | SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip A Brewer | Internal Medicine | Southeastern Emergency Physicians of Memphis LLC | 7245 Raider Rd, Bonne Terre, MO 63628-3767 |
| Raphael Anthony Carter | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1451 N Gardner St, Scottsburg, IN 47170-7751 |
| Robert J Evens | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| William Langston Jr. | Pediatric Medicine | Southeastern Emergency Physicians of Memphis LLC | 910 Blackford St, Chattanooga, TN 37403-1405 |
| Aton Lindon Martin Osbourne | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
| J Scott Ries | Family Medicine | Southeastern Emergency Physicians of Memphis LLC | 1907 W Sycamore St, Kokomo, IN 46901-5148 |
| Jared L Ross | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| David W Burnside | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
| Tamarrah C Davis | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 910 Blackford St, Chattanooga, TN 37403-1405 |
| James B Reid | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
| Street Address |
2 PROGRESS POINT CT |
| City | O FALLON |
| State | MO |
| Zip | 63368-2208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nadia Zia | Internal Medicine | Southeastern Physician Services PC | 2 Progress Point Ct, O Fallon, MO 63368-2208 |
| Raymond Jeffery Wacker | Certified Registered Nurse Anesthetist (crna) | Washington University | 2 Progress Point Ct, O Fallon, MO 63368-2208 |
| Christine E Wilmsen Craig | Internal Medicine | Southeastern Physician Services PC | 2 Progress Point Ct, O Fallon, MO 63368-2208 |
| Candace Esther Nall | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 2 Progress Point Ct, O Fallon, MO 63368-2208 |
| Erica L Stevens | Certified Registered Nurse Anesthetist (crna) | Washington University | 2 Progress Point Ct, O Fallon, MO 63368-2208 |
| Saira M Asadullah | Internal Medicine | Southeastern Physician Services PC | 2 Progress Point Ct, O Fallon, MO 63368-2208 |
| Jeriann Courtney Peter | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 2 Progress Point Ct, O Fallon, MO 63368-2208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin F Clark | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Jeffrey S Swank | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Benjamin L Schaub | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Donald T Thorsen | Occupational Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Theodore S Rummel | Orthopedic Surgery | Piper Spine Care, PC | 2 Progress Point Pkwy, O Fallon, MO 63368-2205 |
| Michelle L Maloney | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Brian Grus | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Gloria Michelle P Edacheril | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Bridget Doerr | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Genevieve Catherine Matthews | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Find all physicians in zip 63368 | |||
| City | O FALLON |
| Zip Code | 63368 |
| Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| City + Specialty | O FALLON + OSTEOPATHIC MANIPULATIVE MEDICINE |
Please comment or provide details below to improve the information on Kent S Sutterer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.