Individual provider Active NPI

Mary Wood Surman, FNP- C

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1801044284
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05606 Issued in LA
Practice address
9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809-2993
Phone
(225) 368-2300
Fax
(225) 368-2280
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP05606 LA Primary

Addresses

Primary practice location

9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809-2993

Mailing address

9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809-2993
Phone (225) 368-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090305000323 LA Practitioner - Nurse Practitioner 4880750439 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Management LLC CurrentSince Sep 29, 2008 Accepting new patients

Locations

9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809
Phone (225) 368-2300

9118 Bluebonnet Centre Blvd
Fl 2
Baton Rouge, LA 70809
Phone (225) 368-2300

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1801044284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9118 BLUEBONNET CENTRE BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092993",
            "telephone_number": "225-368-2300",
            "fax_number": "225-368-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9118 BLUEBONNET CENTRE BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092993",
            "telephone_number": "225-368-2300",
            "fax_number": "225-368-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURMAN",
        "first_name": "MARY",
        "middle_name": "WOOD",
        "name_prefix": "Ms.",
        "credential": "FNP- C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.