Jason Barry Surow, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME148694 Issued in FL

Practice address

8808 Rum Runner PL
Bradenton, FL 34212-2206

Phone

(201) 739-8684

NPI assigned

Nov 4, 2005

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.

• ENT and Allergy Associates of Pennsylvania PLLC

  • Allergy & Immunology Physician
  • Horsham, PA
  • NPI 1548098759

  Otolaryngology

  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1619968997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 RUM RUNNER PL",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122206",
            "telephone_number": "201-739-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 RUM RUNNER PL",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122206",
            "telephone_number": "201-739-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUROW",
        "first_name": "JASON",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME148694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Superville
• Support Pathways of Florida LLC
• Supportive Arms Homecare LLC
• Supportive Arms L.L.C.
• Surichya Surattanont, MD
• Surrey Place of Bradenton LLC (Surrey Place Conv Center of Bradenton)
• Dushala Surujnarain, DDS
• Susan H Weinkle, MD
• Susan J. Rosen Wolfson LLC
• Susan Wexler Crater LCSW LLC

• Otolaryngology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.