Organization
CASELLI AVENUE PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SUTHERLAND M.D. (CEO)
(602) 714-6783
Entity
Organization
Contact information
Practice address
9812 N 7TH ST, 9812 N. 7TH STREET, PHOENIX, AZ 85020-1763
(602) 714-6783
(602) 325-0125
Mailing address
9812 N 7TH ST, 9812 N7TH STREET SUITE 7, PHOENIX, AZ 85020-1763
(602) 714-6783
(602) 325-0125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27081
AZ
207RB0002X
Obesity Medicine (Internal Medicine) Physician
27081
AZ
207RC0000X
Cardiovascular Disease Physician
27081
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
445470
—
AZ
01
—
WCSKQ
SUN HEALTH GROUP
AZ
Enumeration date
11/02/2015
Last updated
11/02/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us