Active NPI
Mark David Suran, D.P.M.
- Foot Surgery Podiatrist
- Parrish, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- PO1633
- Practice address
- 12271 US Highway 301 N
Parrish, FL 34219-8410 - Phone
- (941) 776-4050
- Fax
- (941) 776-4057
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 016-003659 | IL | |
| Podiatrist | 213E00000X | 07000627A | IN | |
| Foot Surgery Podiatrist | 213ES0131X | PO1633 | FL | Primary |
Addresses
Primary practice location
12271 US Highway 301 N
Parrish, FL 34219-8410
Mailing address
700 8TH Ave W
Ste 101
Palmetto, FL 34221-4737
Phone (941) 776-4008
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60001608 | Other | IL | BLUE CROSS PROVIDER ID |
| 200899510 | Medicaid | IN | |
| 016003659 | Medicaid | IL | |
| 0732240001 | Other | DMERC # WITH PPG |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.82 of 100
- Quality
- 72.99
- Improvement activities
- 40
- Cost
- 75.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07000627A | IN | MD | Podiatrist |
| PO1633 | FL | MD | Foot Surgery Podiatrist |
| 016-003659 | IL | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Podiatrist | Current | Accepting new patients |
| Preferred Podiatry Group PC | Podiatrist | Current | Accepting new patients |
| MCR Health, Inc. | Current | Accepting new patients |
Locations
1061 Virginia St
Dunedin, FL 34698
Phone (727) 733-4189
4927 Voorhees Rd
New Prt Rchy, FL 34653
Phone (727) 484-3326
700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
2939 S Haverhill Rd
West Palm Beach, FL 33415
Phone (561) 641-3130
614 Summit Ave
Collinsville, IL 62234
Phone (314) 839-2150
1201 N Alton St
Lebanon, IL 62254
Phone (618) 537-4401
762 N Dan Jones Rd
Avon, IN 46123
Phone (201) 856-0224
5700 Wilkie Dr
Fort Wayne, IN 46804
Phone (260) 432-7556
Organizations & group practices 3
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.
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1548252364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 8TH AVE W",
"address_2": "STE 101",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342214737",
"telephone_number": "941-776-4008",
"fax_number": "941-845-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12271 US HIGHWAY 301 N",
"city": "PARRISH",
"state": "FL",
"postal_code": "342198410",
"telephone_number": "941-776-4050",
"fax_number": "941-776-4057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURAN",
"first_name": "MARK",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "IL",
"license": "016-003659",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07000627A",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "FL",
"license": "PO1633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER ID",
"identifier": "60001608",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200899510",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016003659",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC # WITH PPG",
"identifier": "0732240001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parrish, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.