Individual provider Active NPI

Mark V Sutherland, MD

  • Family Medicine Physician
  • Newport, RI
National Provider Identifier
1700862893
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12606 Issued in RI
Practice address
43 Smith Road
Nhcne
Newport, RI 02841
Phone
(401) 841-6072
Fax
(401) 841-6086
NPI assigned
Dec 20, 2005
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12606 RI Primary

Addresses

Primary practice location

43 Smith Road
Nhcne
Newport, RI 02841

Mailing address

Naval Health Clinic New England
43 Smith Road
Newport, RI 02841-1002
Phone (401) 841-6649

Other practice location 1

PSC 816 Box 1785
Fpo, AE 09612
Phone (078) 979-8275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12606RIMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1700862893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL HEALTH CLINIC NEW ENGLAND",
            "address_2": "43 SMITH ROAD",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028411002",
            "telephone_number": "401-841-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SMITH ROAD",
            "address_2": "NHCNE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "02841",
            "telephone_number": "401-841-6072",
            "fax_number": "401-841-6086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PSC 816 Box 1785",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AE",
            "postal_code": "09612",
            "country_code": "US",
            "telephone_number": "078-979-8275",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "MARK",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "12606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.