Individual
JAMES MICHAEL SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01037260A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000197899
ANTHEM PROVIDER NUMBER
IN
05
—
100232550
—
IN
01
—
10826030
CAQH NUMBER
IN
01
—
9397536
PHCS PID PROVIDER
IN
05
—
SU15694039
—
IN
Enumeration date
03/21/2006
Last updated
02/26/2021
Update your record
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