Individual provider Active NPI

Mark Edward Sutherland, M.D.

  • Surgery Physician
  • Texarkana, TX
National Provider Identifier
1023057353
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J7221 Issued in TX
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
159065501MedicaidTX
125618001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050808000298 AR Practitioner - General Surgery 1658300967 Reassigns benefits to 1 organization
I20101102000331 TX Practitioner - General Surgery 1658300967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tulane University School of Medicine, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Howard Memorial HospitalGroup PAC ID 7315851599, 8 clinicians
Mark E Sutherland M.D.,P.aGroup PAC ID 3971529678, 3 clinicians

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)20
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux51
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Memorial Hospital CurrentSince Nov 1, 2019 Accepting new patients
Howard Memorial Hospital Surgery CurrentSince Nov 1, 2019 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

  • FHIR API: https://fhir-usa.unify.chbase.com/org/howard-9d20da0d
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGHHCA/Endpoint/EGHHCA
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.