Suzanne Southerland, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME78267 Issued in FL

Practice address

3400 Bee Ridge Rd
Suite 120
Sarasota, FL 34239-7243

Phone

(941) 924-9900

Fax

(941) 924-9919

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: suzanne.southerland.1@8042.direct.athenahealth.com

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.

• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  NPD (past)
• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1518985134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BEE RIDGE RD",
            "address_2": "SUITE 120",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397243",
            "telephone_number": "941-924-9900",
            "fax_number": "941-924-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BEE RIDGE RD",
            "address_2": "SUITE 120",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397243",
            "telephone_number": "941-924-9900",
            "fax_number": "941-924-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERLAND",
        "first_name": "SUZANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME78267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259151100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FLORIDA",
            "identifier": "35423",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Florida Injury and Convenient Care
• South Florida Injury and Convenient Care
• South Tuttle Ave Opco LLC
• Stacey Ann South, M.D.
• John Christian Southerland, M.D.
• Southern Home Care Services, Inc.
• Southern Ortho & Spine Bracing, LLC
• Sovereign Plastic Surgery PLLC
• Andrew Soxman, DO
• Alberto Enrique Soyano, M.D.

• Pediatrics Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.