Richard Mark Surrusco, M.D.

Primary specialty

Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X

License

0101024188 Issued in VA

Practice address

111 Franklin Rd SE
Suite 250
Roanoke, VA 24011-2134

Phone

(540) 857-7748

Fax

(540) 857-6374

NPI assigned

Apr 20, 2007

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679790588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FRANKLIN RD SE",
            "address_2": "SUITE 250",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240112134",
            "telephone_number": "540-857-7748",
            "fax_number": "540-857-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FRANKLIN RD SE",
            "address_2": "SUITE 250",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240112134",
            "telephone_number": "540-857-7748",
            "fax_number": "540-857-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRUSCO",
        "first_name": "RICHARD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "VA",
            "license": "0101024188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Sun
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• Eric Michael Surat, DDS
• Kimberly Gail Surratt, SLP
• Scott A. Sutphin, PTA
• Christopher David Sutton, M.D.
• Amanda Kathleen Swaak
• Lakeisha Yvette Swain
• Zachary Thomas Swanner, D.M.D.

• Emergency Medicine Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.