Dr. Stephen D Sudderth, MD
Dr. Stephen D Sudderth is a Surgery Physician provider (Surgery) practicing in Vicksburg, MS, registered in the NPPES registry with NPI 1528096849 since 2006. The credential MD stands for Doctor of Medicine. Practices at River City Dermatology and Aesthetics LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1528096849 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Stephen D Sudderth |
| Credential | MD |
| Sex | Male |
| Practice address | Vicksburg, MS, 39183 |
| Phone | 6016367222 |
| Fax | 6016360440 |
| Enumeration date | 2006-06-28 |
| Last updated in NPPES | 2014-02-21 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 17597 | MS |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00126115 | Medicaid | MS | — |
| 1986712 | Medicaid | LA | — |
Copy-ready billing details
Provider: Stephen Sudderth, MD NPI: 1528096849 Taxonomy: 208600000X (Surgery Physician) Address: Vicksburg, MS, 39183
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063479608 | Leah Calder | Individual | Physician Assistant | Vicksburg, MS |
| 1295766780 | Julia Varnier | Individual | Physician Assistant | Vicksburg, MS |
| 1528812203 | River City Dermatology and Aesthetics LLC | Organization | Dermatology Physician | Vicksburg, MS |
Verify this record
Cross-check NPI 1528096849 against the authoritative CMS record: view Dr. Stephen D Sudderth on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where does Stephen Sudderth practice?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-02-21.