Provider Demographics
NPI:1598896771
Name:SUTHER, CHERIE CARUTHERS (MD)
Entity Type:Individual
Prefix:MRS
First Name:CHERIE
Middle Name:CARUTHERS
Last Name:SUTHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHERIE
Other - Middle Name:DAWN
Other - Last Name:CARUTHERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 219111
Mailing Address - Street 2:DEPT 999252
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64121-9111
Mailing Address - Country:US
Mailing Address - Phone:816-313-5371
Mailing Address - Fax:
Practice Address - Street 1:5701 W 110TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-2503
Practice Address - Country:US
Practice Address - Phone:913-491-5663
Practice Address - Fax:913-491-5687
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6495208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200641400CMedicaid
MO1598896771Medicaid
KSBS9748041OtherDEA
MO1598896771Medicaid