Active NPI
Mark Joseph Sutherland, MD
- Anesthesiology Physician
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 92198
- Practice address
- 2720 Sunset Blvd
West Columbia, SC 29169-4810 - Phone
- (803) 935-8538
- NPI assigned
- Oct 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2006-00273 | NC | |
| Anesthesiology Physician | 207L00000X | 92198 | SC | Primary |
Addresses
Primary practice location
2720 Sunset Blvd
West Columbia, SC 29169-4810
Mailing address
PO Box 3686
Wilmington, NC 28406-0686
Phone (910) 442-1100
Other practice location 1
2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 442-1100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2054049C | Other | NC | MEDICARE PTAN |
| 2054049 | Other | NC | MEDICARE ID |
| 2054049E | Other | NC | MEDICARE PTAN |
| 5903826 | Medicaid | NC | |
| P00843366 | Other | NC | MEDICARE RAILROAD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msutherland176014@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Virginia Commonwealth University, School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2460
811 W Main St
Lexington, SC 29072-2500
Hospital & facility affiliations
- Lexington Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 68.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-00273 | NC | MD | Anesthesiology Physician |
| 92198 | SC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Southeast Anesthesiology Consultants, PLLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Lexington Health Inc | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Southeast Anesthesiology Consultants, PLLC | Anesthesiology | Current | Accepting new patients |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington County Health Services District, Inc. | Past | Accepting new patients | |
| Ambulatory Anesthesia Services, PLLC | Anesthesiology | Past | Accepting new patients |
| Wilmington Anesthesiologists PLLC | Anesthesiology | Past | Accepting new patients |
Locations
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
2520 Independence Blvd
Ste 200
Wilmington, NC 28412
Phone (910) 442-1100
5301 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 452-8100
2305 Canterwood Dr
Wilmington, NC 28401
Phone (910) 343-0119
105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840
3016 Longtown Commons Dr
Ste 105
Columbia, SC 29229
Phone (803) 314-0529
811 W Main St
Lexington, SC 29072
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480
Interoperability endpoints
- msutherland176014@direct.lexmed.com
- msutherland1252250@direct.novanthealth.org
Organizations & group practices 12
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
- Anesthesiology Physician
- Wilmington, NC
- NPI 1033412267
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1538124201
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1356366314
-
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
- Anesthesiology Physician
- West Columbia, SC
- NPI 1942808159
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Anesthesiology
-
- Pain Medicine (Anesthesiology) Physician
- Monroe, NC
- NPI 1174817993
-
- Anesthesiology Physician
- Wilmington, NC
- NPI 1932402195
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1396778056
-
- Pain Medicine (Anesthesiology) Physician
- Wilmington, NC
- NPI 1790816254
-
- Anesthesiology Physician
- Wilmington, NC
- NPI 1992708747
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1578554606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3686",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284060686",
"telephone_number": "910-442-1100",
"fax_number": "910-442-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694810",
"telephone_number": "803-935-8538"
}
],
"practiceLocations": [
{
"address_1": "2131 S 17th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017407",
"country_code": "US",
"telephone_number": "910-442-1100",
"fax_number": "910-442-1199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTHERLAND",
"first_name": "MARK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2006-00273",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "92198",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "2054049C",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "2054049",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "2054049E",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903826",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00843366",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msutherland176014@direct.lexmed.com",
"affiliation": "N",
"address_1": "2720 Sunset Blvd",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.