Individual
DR. THOMAS LYNN SUTULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
(574) 647-7477
(574) 647-3655
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01036117A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085135
ANTHEM
IN
01
—
000000488324
ANTHEM
IN
01
—
000000681919
ANTHEM
IN
01
—
080191116
RR MEDICARE
IN
05
—
100336100
—
IN
Enumeration date
12/01/2005
Last updated
04/05/2021
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