Osama M Suliman, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME45590 Issued in FL

Practice address

6255 Central Ave
St Petersburg, FL 33710-8431

Phone

(727) 344-6000

Fax

(727) 344-7732

NPI assigned

Aug 25, 2005

Last updated

Jun 29, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Pathology PA

  • Clinical Medical Laboratory
  • The Villages, FL
  • NPI 1427149558
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1619960689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 COUNTY ROAD 101",
            "address_2": "STE 203",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629334",
            "telephone_number": "727-344-6000",
            "fax_number": "727-344-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108431",
            "telephone_number": "727-344-6000",
            "fax_number": "727-344-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULIMAN",
        "first_name": "OSAMA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME45590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Suid
• Suksanong and Suksanong MDS PA
• Dawn Suksanong, PSY.D.
• Mingquan Tongbhakdee Suksanong, M.D.
• Thawatchai Suksanong, M.D.
• Alex Sullivan, MD
• Colleen Marie Sullivan, LMHC
• Kerri M Sullivan
• Kristi R Sullivan
• Lauren Sullivan

• Plastic Surgery Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.