Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 2016019905 | MO |
N | 207V00000X | Obstetrician & Gynecologist | MD066077L | PA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD066077L | PA |
NPI | 1093705469 |
---|---|
Provider Name | Dr. Gary Sutkin |
First Address | Kansas City, MO 64108-2602 |
Second Address | Kansas City, MO 64108-2640 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2005 |
Last Update Date | 19/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100145590A | (05) | OK |
106088101 | (05) | TX |
106088103 | (05) | TX |
125075100 | (05) | TX |
125075101 | FIRSTCARE COMMERCIAL (01) | TX |
68370 | (05) | NM |
68370 | PRESBYTERIAN COMMERCIAL (01) | NM |
84338Z | HMO BLUE (01) | TX |
8A2704 | BC/BS (01) | TX |
A505 | TRIWEST (01) | NM |
B6096 | (05) | NM |
BS5932430 | DEA (01) | TX |
G79066 | (02) | TX |
R0116508 | DPS (01) | TX |