Provider Demographics
NPI:1699760587
Name:SUTTON, HYATT D (MD)
Entity type:Individual
Prefix:MR
First Name:HYATT
Middle Name:D
Last Name:SUTTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2400 PATTERSON ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1562
Mailing Address - Country:US
Mailing Address - Phone:615-342-5900
Mailing Address - Fax:615-342-5912
Practice Address - Street 1:2400 PATTERSON ST
Practice Address - Street 2:SUITE 400
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1562
Practice Address - Country:US
Practice Address - Phone:615-342-5900
Practice Address - Fax:615-342-5912
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2022-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN27755207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1513291OtherMEDICAID MCC TEMP#
TN3827183Medicaid
TNP00723462OtherRR MEDICARE
KY6403139600Medicaid
TN3827184Medicare PIN
TNP00723462OtherRR MEDICARE
KY6403139600Medicaid