DR. MARK JOSEPH SUTHERLAND (NPI# 1578554606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578554606 |
| Entity Type | Individual |
| Full Name | DR. MARK JOSEPH SUTHERLAND |
| Credential | MD |
| Practice Address |
2131 S 17th St Wilmington NC 28401-7407 |
| Mailing Address |
Po Box 3686 Wilmington NC 28406-0686 |
| Practice Telephone | 9104421100 |
| Practice Fax Number | 9104421199 |
| Mailing Telephone | 9104421100 |
| Mailing Fax Number | 9104421199 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2011-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 2006-00273 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PTAN | 2054049E | 01 |
| NC | MEDICARE ID | 2054049 | 01 |
| NC | MEDICARE RAILROAD | P00843366 | 01 |
| NC | MEDICARE PTAN | 2054049C | 01 |
| NC | 5903826 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346286143 | Mark Herbert Sutherland | Physician Assistant | 799 Lumsden Rd., Brandon, FL 33511 | 2006-06-21 |
| 1700862893 | Mark V Sutherland | Family Medicine | 43 Smith Road, Nhcne, Newport, RI 02841 | 2005-12-20 |
| 1659799286 | Mark Edward Sutherland | Emergency Medicine | 22 S Greene St, Room N3e09, Baltimore, MD 21201-1544 | 2014-04-01 |
| 1659462497 | Mark John Sutherland | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2006-09-27 |
| 1023057353 | Mark Edward Sutherland | Surgery | 2717 Summerhill Rd, Texarkana, TX 75503-3957 | 2006-06-05 |
| 1164475794 | Mark Erin Sutherland | Neuromusculoskeletal Medicine & OMM | 149 North St, Waterville, ME 04901-4974 | 2006-05-17 |
| Street Address |
2131 S 17TH ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708747 | Wilmington Anesthesiologists Pllc | Anesthesiology | 2131 S 17th St, Wilmington, NC 28401-7407 | 2005-05-24 |
| 1316548159 | Thomas Martin Leighton | Nurse Practitioner | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-11-06 |
| 1902406176 | Jeff Marsh | Registered Nurse | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-10-27 |
| 1629685664 | Bobbie Sheatsley | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-09-24 |
| 1699393504 | Megan Grogan | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-07-07 |
| 1215556550 | Salman Khan | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-15 |
| 1760001028 | John William Miller Jr. | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-15 |
| 1588283246 | Amanda Kristin Briese | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-13 |
| 1689293300 | Broc D Astill | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-13 |
| 1467071423 | Siten Patel | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811383458 | Stephen Patrick Ellison | Anesthesiology | 2520 Independence Blvd Ste 201, Wilmington, NC 28412-6566 | 2015-04-10 |
| 1386080638 | Akshay Menon | Anesthesiology | 5444 Efird Rd, Wilmington, NC 28409-2417 | 2013-05-14 |
| 1871883553 | Atlantic Medical Specialists, LLC | Anesthesiology | 1700 W 14th St, Wilmington, DE 19806-4012 | 2011-04-14 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1831347202 | Felix John Boffa | Anesthesiology | 2413 Oakmere Rd, Wilmington, DE 19810 | 2008-08-28 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1629292776 | Amy V Isenberg | Anesthesiology | 2520 Independence Blvd Ste 200, Wilmington, NC 28412-2482 | 2007-04-12 |
| 1285737122 | Timothy Garman Cook | Anesthesiology | 131 Parrish Ln, Wilmington, DE 19810-3457 | 2006-09-06 |
| 1083642441 | Charles L Joachim | Anesthesiology | 309 Bridgeton Ct, Wilmington, NC 28411-8600 | 2006-06-28 |
| 1881672780 | Mark Mancuso | Anesthesiology | 2006 Limestone Rd Ste 5, Wilmington, DE 19808-5553 | 2006-01-03 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.