Provider Demographics
NPI:1851374607
Name:SUTHERLAND, DOUGLAS STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:STEVEN
Last Name:SUTHERLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 FRANKLIN ST SE STE 200
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4537
Mailing Address - Country:US
Mailing Address - Phone:256-539-0457
Mailing Address - Fax:256-539-5827
Practice Address - Street 1:2006 FRANKLIN ST SE
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4551
Practice Address - Country:US
Practice Address - Phone:256-539-0457
Practice Address - Fax:256-539-5827
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL240282085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL126725Medicaid
AL135720Medicaid
AL259593Medicaid
AL51100039OtherBCBS
AL51595701OtherBCBS
AL051550578Medicaid
AL247995Medicaid
AL249766Medicaid
AL249935Medicaid
AL51595700OtherBCBS
AL009961060Medicaid
AL009911108Medicaid
AL009961080Medicaid
AL212010Medicaid
AL51550578OtherBCBS OF AL
AL249507Medicaid
AL249508Medicaid
AL009942788Medicaid
AL009961070Medicaid
AL238522Medicaid
AL51595702OtherBCBS
AL51595703OtherBCBS
AL51595704OtherBCBS