| Dr Cathleen Connie Suto, MD | |
|
550 Sunset Trl, Jellico, TN 37762-2343 | |
| (423) 784-5771 | |
| (423) 784-6185 |
| Full Name | Dr Cathleen Connie Suto |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 550 Sunset Trl, Jellico, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013902527 | NPI | - | NPPES |
| 0297024 | Other | KY | KY MEDICARE |
| 41746 | Other | KY | STATE LICENSE |
| 7100065240 | Medicaid | KY | |
| 43450 | Other | TN | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 41746 (Kentucky) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 43450 (Tennessee) | Primary |
| Entity Name | University Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790738763 PECOS PAC ID: 5294646378 Enrollment ID: O20031111000809 |
| Entity Name | State Of Franklin Healthcare Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063459410 PECOS PAC ID: 2466346291 Enrollment ID: O20040211001101 |
| Entity Name | Dayspring Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013049469 PECOS PAC ID: 7214990746 Enrollment ID: O20041215000423 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
| Entity Name | Sweetwater Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558995399 PECOS PAC ID: 6608773775 Enrollment ID: O20210226000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cathleen Connie Suto, MD 107 S Main St, P.o. Box 540, Jellico, TN 37762-2154 Ph: (423) 784-8492 | Dr Cathleen Connie Suto, MD 550 Sunset Trl, Jellico, TN 37762-2343 Ph: (423) 784-5771 |