Individual provider Active NPI

Mark David Suran, D.P.M.

  • Foot Surgery Podiatrist
  • Parrish, FL
National Provider Identifier
1548252364
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO1633 Issued in FL
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

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
60001608OtherILBLUE CROSS PROVIDER ID
200899510MedicaidIN
016003659MedicaidIL
0732240001OtherDMERC # 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141009001225 FL Practitioner - Podiatry 8628152873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000627AINMDPodiatrist
PO1633FLMDFoot Surgery Podiatrist
016-003659ILMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Podiatrist CurrentSince Jul 1, 2014 Accepting new patients
Preferred Podiatry Group PC Podiatrist CurrentSince Jun 1, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Jul 1, 2014 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.

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

Verify at the official NPI Registry.