Dirk W. R. Suringa M.D. P.a.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

DIRK W. R. SURINGA M.D. P.A.

Practice address

508 S Habana Ave
Tampa, FL 33609-4181

Phone

(813) 350-0200

Fax

(813) 350-0890

NPI assigned

Apr 17, 2012

Last updated

Apr 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Coll

Title

Office Manager

Phone

(813) 350-0200

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dirk W.R. Suringa, M.D.

  • Specialist
  • Tampa, FL
  • NPI 1275565665
  NPD
• Charles Lance Kane, MD

  • Specialist
  • Tampa, FL
  • NPI 1881614840
  NPD (past)
• Samuel Perenich, PA

  • Physician Assistant
  • Hazle Township, PA
  • NPI 1467270009
  NPD (past)

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1316204258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094181",
            "telephone_number": "813-350-0200",
            "fax_number": "813-350-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094181",
            "telephone_number": "813-350-0200",
            "fax_number": "813-350-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRK W. R. SURINGA M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "COLL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-350-0200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Dipietro, MD
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• Directpsych
• Sarah Diroff
• Dis of Tampa Bay Inc (New Vista Diagnostic of Fountain Oaks)
• Stephanie Marie Discepolo, BSW
• Danielle Marie Dischner
• Disco Anesthesia LLC

• Procedural Dermatology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.