Provider Demographics
NPI:1942255781
Name:SUGGS, CASSANDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:
Last Name:SUGGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7094 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2010
Mailing Address - Country:US
Mailing Address - Phone:614-237-1067
Mailing Address - Fax:614-237-2655
Practice Address - Street 1:7094 E MAIN ST
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2010
Practice Address - Country:US
Practice Address - Phone:614-237-1067
Practice Address - Fax:614-237-2655
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35069692207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2015474Medicaid
OH2015474Medicaid
OHSU0820011Medicare ID - Type Unspecified