William Mark Sutherland, M.S.N., CRNP.

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

TP004895M Issued in PA

Practice address

700 Quincy Ave
Moses Taylor Hospital Emergency Department
Scranton, PA 18510-1724

Phone

(570) 340-2900

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

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.

• Lancaster Medical Clinic

  • General Practice Physician
  • Salem, OR
  • NPI 1487956512
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1336237593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 KINGSWOOD DR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121422",
            "telephone_number": "570-675-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 QUINCY AVE",
            "address_2": "MOSES TAYLOR HOSPITAL EMERGENCY DEPARTMENT",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101724",
            "telephone_number": "570-340-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "WILLIAM",
        "middle_name": "MARK",
        "credential": "M.S.N., CRNP.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "TP004895M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anisa Sugantal Suparmanian
• Rebecca Supensky
• Sai Meghana Suresh Kumar
• Swapnil Sunil Surpur, M.D.
• Nishith Bipinkumar Sutaria
• Chivon Sutton
• Ryan Matthew Sutton
• Taniaya Sutton
• Taylor Andrew Sutton, D.O.
• Stephen George Svetovich, OTR/L

• Acute Care Nurse Practitioner in Scranton, PA
• Providers in Scranton, PA by specialty
• Acute Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.