Mark D Suprock (NPI# 1205858339, PAC ID# 0042217192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1205858339 |
| PAC ID by PECOS | 0042217192 |
| Professional Enrollment ID | I20061102000151 |
| Full Name | Mark D Suprock |
| Organization Legal Name | ORTHOCAROLINA, PA |
| Address |
170 Kimel Park Dr Winston Salem NC 27103-6946 |
| Phone Number | 7043232276 |
| Gender | M |
| Credential | MD |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2062316821 |
| Number of Group Practice Members | 402 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340183 | NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER |
| 340129 | LAKE NORMAN REGIONAL MEDICAL CENTER |
| 340144 | DAVIS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1915 Randolph Rd, Charlotte, NC 28207-1101 | 7043391000 | ORTHOCAROLINA, PA |
| 2001 Randolph Rd, Charlotte, NC 28207-1215 | 7043322225 | ORTHOCAROLINA, PA |
| 9848 N Tryon St, Charlotte, NC 28262-5512 | 7043232100 | ORTHOCAROLINA, PA |
| 354 Copperfield Blvd Ne, Concord, NC 28025-2402 | 7043232276 | ORTHOCAROLINA, PA |
| 10030 Gilead Rd, Huntersville, NC 28078-7545 | ORTHOCAROLINA, PA | |
| 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 7043232276 | ORTHOCAROLINA, PA |
| Organization Legal Name | ORTHOCAROLINA, PA |
| Physicians | 395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor Marshall Simmons | Physical Therapy | Orthocarolina, Pa | 197 Piedmont Blvd, Suite 111, Rock Hill, SC 29732-1825 |
| Lacy Peterson | Physical Therapy | Orthocarolina, Pa | 214 18th St Se, Hickory, NC 28602-1363 |
| Matthew Quay Johnson | Physical Therapy | Orthocarolina, Pa | 150 Fairview Rd, Suite 230, Mooresville, NC 28117-9508 |
| James Steven Starman | Orthopedic Surgery | Orthocarolina, Pa | 445 Pineview Dr, Suite 220, Kernersville, NC 27284-3818 |
| Erica Kay Locklear | Nurse Practitioner | Orthocarolina, Pa | 1604 Medical Dr, Laurinburg, NC 28352-5524 |
| Michael Steven Gart | Plastic and Reconstructive Surgery | Orthocarolina, Pa | 2001 E 7th St, Charlotte, NC 28204-3311 |
| Debra Myhr | Physical Therapy | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| Margaret Mcbride Hanna | Physical Therapy | Orthocarolina, Pa | 5935 Carnegie Blvd, Suite 104, Charlotte, NC 28209-4672 |
| Michael Devon Bates | Orthopedic Surgery | Orthocarolina, Pa | 9848 N Tryon St, Charlotte, NC 28262-5512 |
| Judit A Staneata | Physical Medicine and Rehabilitation | Orthocarolina, Pa | 180 Kimel Park Dr, Winston Salem, NC 27103-6976 |
| Street Address |
170 KIMEL PARK DR |
| City | WINSTON SALEM |
| State | NC |
| Zip | 27103-6946 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzonne Ijames Stratton | Physician Assistant | Orthocarolina, Pa | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 |
| Dylan Thomas Plocki | Physician Assistant | Orthocarolina, Pa | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 |
| Carrie Kibler Rhodes | Physical Therapy | Orthocarolina, Pa | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 |
| Ann Steber | Occupational Therapy | Orthocarolina, Pa | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 |
| Jonathan S Yoder | Family Medicine | Orthocarolina, Pa | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 |
| Aaron Wooten | Physical Therapy | Orthocarolina, Pa | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 |
| Lois Jean Maple | Physical Therapy | Orthocarolina, Pa | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 |
| John Thomas Mcmurtry | Physical Medicine and Rehabilitation | Orthocarolina, Pa | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 |
| Michael D Lauffenburger | Orthopedic Surgery | Orthocarolina, Pa | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 |
| Katlyn Marie Joyner | Physician Assistant | Orthocarolina, Pa | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Predrag V Gligorovic | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| John G Spangler | Family Medicine | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Sahil Munjal | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Stephen I Kramer | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Gayathri D Tadepalli | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Patrick Smith | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| James N Kimball | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Katherine Atala | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Heather Douglas | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Adam Boiter | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Find all physicians in zip 27103 | |||
| City | WINSTON SALEM |
| Zip Code | 27103 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | WINSTON SALEM + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Mark D Suprock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.