Dirk W.R. Suringa, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0015588 Issued in FL

Practice address

508 S Habana Ave
Suite 150
Tampa, FL 33609-4181

Phone

(813) 350-0200

Fax

(813) 254-6514

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dirk W. R. Suringa M.D. P.a.

  • Procedural Dermatology Physician
  • Tampa, FL
  • NPI 1316204258
  NPD
• C Lance Kane MD PA

  • Dermatology Physician
  • Tampa, FL
  • NPI 1619151479
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275565665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE",
            "address_2": "SUITE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094181",
            "telephone_number": "813-350-0200",
            "fax_number": "813-254-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE",
            "address_2": "SUITE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094181",
            "telephone_number": "813-350-0200",
            "fax_number": "813-254-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURINGA",
        "first_name": "DIRK",
        "middle_name": "W.R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0015588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgcenter of Riverview, LLC
• Surgery Centers of America, LLC
• Surgical Bariatric Centers, LLC
• Surgicalist of Wa PLLC
• Joseph Gennaro Suriano, OD
• Jillian Surridge, DPT
• Amanda Surujbali, APRN
• Susan M. Posada, PA
• Susan V Sims, LLC
• Susana Lozada-Murray, Psy.D. LLC

• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.