DR. MARK DAVID SURAN D.P.M. NPI 1548252364

NPI Information

NPI: 1548252364
Provider Name: DR. MARK DAVID SURAN, D.P.M.
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
12271 US HIGHWAY 301 N
PARRISH, FL
ZIP 34219
Phone: (941) 776-4050
Get Directions

DR. Mark David Suran, D.P.M. is a foot surgery podiatrist in Parrish, FL. DR. Mark David Suran, D.P.M. NPI is 1548252364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12271 US HIGHWAY 301 N
PARRISH, FL
ZIP 34219-410
Phone: (941) 776-4050
Fax: (941) 776-4057

The NPI 1548252364 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/18/2005 and was last updated on 3/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	016-003659	ILLINOIS	No
2	213E00000X	Podiatrist		07000627A	INDIANA	No
3	213ES0131X	Podiatrist	Foot Surgery	PO1633	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200899510	MEDICAID	INDIANA
2	60001608	OTHER	ILLINOIS	BLUE CROSS PROVIDER ID
3	R00024	MEDICARE PIN	ILLINOIS
4	R00021	MEDICARE PIN	ILLINOIS
5	T38517	MEDICARE UPIN	ILLINOIS
6	0854660001	MEDICARE NSC	ILLINOIS
7	016003659	MEDICAID	ILLINOIS
8	R00022	MEDICARE PIN	ILLINOIS
9	765650	MEDICARE PIN	ILLINOIS
10	0732240001	OTHER		DMERC # WITH PPG
11	859800BB	MEDICARE PIN	INDIANA
12	P00623832	MEDICARE PIN	INDIANA
13	P00458161	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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