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Active NPI 1528096849 Individual Practitioner Male Practitioner

Dr. Stephen D Sudderth , MD

Surgery • Vicksburg, MS

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Sudderth, MD is a registered healthcare professional specializing in Surgery in Vicksburg, MS. Practice services are available at 188 YMCA PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

188 Ymca Pl

Vicksburg, MS 391833536

Telephone 6016367222
Fax 6016360440
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Vicksburg, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Vicksburg, MS (284 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MS 17597

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00126115 (MS)
Medicaid State Provider ID
1986712 (LA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Julia Varnier , PA-C

Physician Assistant

NPI 1295766780

Physician Assistant (Certified)

Jean Skinner , CFNP

Nurse Practitioner

NPI 1336429703
Erin Brooks , PA

Physician Assistant

NPI 1447980107

Physician Assistant

Rachael Sudderth , NP-C

Nurse Practitioner

NPI 1952955684

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2014

Registered at 188 YMCA PL, VICKSBURG, MS 391833536 (Tel: 6016367222)

📍
Updated Business Mailing Address February 21, 2014

Registered at 188 YMCA PL, VICKSBURG, MS 391833536 (Tel: 6016367222)

👤
Provider Name / Credentials Updated February 21, 2014

Recorded as STEPHEN SUDDERTH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2014

Surgery (License #17597 in MS)

🟢
Initial NPI Registration & Enumeration June 28, 2006

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: 1528096849
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2006
Last Update: February 21, 2014
Sole Proprietor: Yes

Mailing Address

188 Ymca Pl

Vicksburg, MS 391833536

Phone: 6016367222

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.