Active NPI
Mark Paul Suojanen, M.D.
- Anesthesiology Physician
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 58691
- Practice address
- 915 E 1St St
Duluth, MN 55805 - Phone
- (218) 249-5352
- Fax
- (218) 249-5534
- NPI assigned
- Apr 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 58691 | MN | Primary |
| Anesthesiology Physician | 207L00000X | MD28813 | ME |
Addresses
Primary practice location
915 E 1St St
Duluth, MN 55805
Mailing address
915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-5352
Other practice location 1
523 N 3rd St
Brainerd, MN 56401-3054
Phone (218) 829-2861
Other practice location 2
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 482-7800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, ME, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Minnesota Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Minnetonka, MN 55305
Phone (612) 810-4738
1265 Union Ave
Suite 201
Memphis, TN 38104-3415
Phone (901) 516-7000
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000
Hospital & facility affiliations
- Methodist Hospitals of Memphis
- Alomere Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Anesthesiology Associates of TN PC | Anesthesiology | Current | Accepting new patients |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Regional Anesthesia Services PA | Anesthesiology | Current | Accepting new patients |
Locations
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
13911 Ridgedale Dr
Ste 404B
Minnetonka, MN 55305
Phone (612) 636-0061
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000
1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Minnetonka, MN
- NPI 1073621850
-
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1316724073
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1013233840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 E 1ST ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052107",
"telephone_number": "218-249-5352",
"fax_number": "218-249-5534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 E 1ST ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "55805",
"telephone_number": "218-249-5352",
"fax_number": "218-249-5534"
}
],
"practiceLocations": [
{
"address_1": "523 N 3rd St",
"address_purpose": "LOCATION",
"city": "Brainerd",
"state": "MN",
"postal_code": "564013054",
"country_code": "US",
"telephone_number": "218-829-2861",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023134",
"country_code": "US",
"telephone_number": "207-482-7800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUOJANEN",
"first_name": "MARK",
"middle_name": "PAUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-19",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MN",
"license": "58691",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ME",
"license": "MD28813",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@slk.direct.slhduluth.com",
"affiliation": "N",
"address_1": "915 E 1st St",
"city": "Duluth",
"state": "MN",
"country_code": "US",
"postal_code": "55805",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.