Active NPI
Mark Edward Sutherland, M.D.
- Surgery Physician
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- J7221
- Practice address
- 2717 Summerhill Rd
Texarkana, TX 75503-3957 - Phone
- (903) 792-3773
- Fax
- (903) 792-1291
- NPI assigned
- Jun 5, 2006
- Last updated
- Jan 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | J7221 | TX | Primary |
Addresses
Primary practice location
2717 Summerhill Rd
Texarkana, TX 75503-3957
Mailing address
2717 Summerhill Rd
Texarkana, TX 75503-3957
Phone (903) 792-3773
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159065501 | Medicaid | TX | |
| 125618001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Tulane University School of Medicine, 1994
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
130 Medical Cir
Nashville, AR 71852-8606
Phone (870) 845-8914
130 Medical Circle
Nashville, AR 71852-8606
132 Medical Cir
Suite 200
Nashville, AR 71852-8608
132 Medical Circle
Suite 200
Nashville, AR 71852-8607
2717 Summerhill Rd
Texarkana, TX 75503-3957
Phone (903) 792-3773
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 20 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 20 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 51 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard Memorial Hospital | Current | Accepting new patients | |
| Howard Memorial Hospital | Surgery | Current | Accepting new patients |
| Howard Memorial Hospital | Past | Accepting new patients |
Locations
130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700
132 Medical Cir
Ste 200
Nashville, AR 71852
Phone (870) 845-3757
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/howard-9d20da0d
- https://fhir4.healow.com/fhir/r4/EGHHCA/Endpoint/EGHHCA
- mark.sutherland@hmhmc.eclinicaldirectplus.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Texarkana, TX
- NPI 1568657393
-
- Clinical Neuropsychologist
- Nashville, AR
- NPI 1104282664
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus St. Michael Health System
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
Hospital
-
dba CHRISTUS St. Michael Health System
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
- Critical Access Hospital
- Nashville, AR
- NPI 1851484695
-
dba Elite Home Health
- Home Health Agency
- Nashville, AR
- NPI 1881892404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1023057353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 SUMMERHILL RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755033957",
"telephone_number": "903-792-3773",
"fax_number": "903-792-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 SUMMERHILL RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755033957",
"telephone_number": "903-792-3773",
"fax_number": "903-792-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTHERLAND",
"first_name": "MARK",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "J7221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159065501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125618001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
- Sean M. Summers, OD
- Janet Lynn Sumner, MS RD LD
- Surgery Associates of Texarkana, P.a.
- Surgery Center of Northeast Texas LLC (Surgery Center of Northeast Texas)
- Caroline Jane Sutherland, FNP-C
- Ashli Kay Sutton, LPC
- Kimberly Lynne Sutton, FNP
- Swiftlifttransport
- Synergy Physical Therapy and Rehabilitation, LLC
- Asongtia Taku, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.