Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396743258 Individual Practitioner Female Practitioner

Dr. Lesa Sue Sutton-Davis , MD

Pediatrics • Henderson, KY

Professional Overview & Biography Verified Profile Summary

Dr. Lesa Sutton-Davis, MD is a registered healthcare professional specializing in Pediatrics in Henderson, KY. Practice services are available at 2000 N ELM ST STE 1B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2000 N Elm St Ste 1b

Henderson, KY 424202385

Telephone 2708448144
Fax 2708448145
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Henderson, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Henderson, KY (910 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License KY 36607

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
64027493 (KY)
Commercial Insurance / Payer ID Anthem - Ncma
000000910700 (KY)
Commercial Insurance / Payer ID Siho-Ncma
170480 (KY)
Commercial Insurance / Payer ID Passport - Ncma Fairdale
50086973 (KY)
Commercial Insurance / Payer ID Passport - Ncma Breckenridge
50086969 (KY)

Secondary Practice Locations

4420 Dixie Hwy, Suite 126

Louisville, KY 402162988

Phone: 5028103780

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 2000 N ELM ST STE 1B, HENDERSON, KY 424202385 (Tel: 2708448144)

📍
Updated Business Mailing Address March 17, 2018

Registered at PO BOX 638706, CINCINNATI, OH 452638706 (Tel: 2708277558)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as LESA SUTTON-DAVIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Pediatrics (License #36607 in KY)

NPI Profile Active November 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2017

Registered at 2000 N ELM ST STE 1B, HENDERSON, KY 424202385 (Tel: 2708448144)

📍
Updated Business Mailing Address November 08, 2017

Registered at PO BOX 638706, CINCINNATI, OH 452638706 (Tel: 2708277558)

👤
Provider Name / Credentials Updated November 08, 2017

Recorded as LESA SUTTON-DAVIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2017

Pediatrics (License #36607 in KY)

NPI Profile Active September 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 03, 2016

Registered at 4420 DIXIE HWY, SUITE 126, LOUISVILLE, KY 402162988 (Tel: 5028103780)

📍
Updated Business Mailing Address September 03, 2016

Registered at PO BOX 776351, CHICAGO, IL 606776351 (Tel: 5025889490)

👤
Provider Name / Credentials Updated September 03, 2016

Recorded as LESA SUTTON-DAVIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2016

Pediatrics (License #36607 in KY)

🟢
Initial NPI Registration & Enumeration July 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396743258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2005
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

Po Box 638706

Cincinnati, OH 452638706

Phone: 2708277558

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.