10315 HAMPTONS PARK DR
HUNTERSVILLE, NC 28078-7217 US PECOS Enrolled
Mark Douglas Suprock
Orthopaedic Surgeon
- HUNTERSVILLE, NC
- Phone: (704)-323-2800
- Last Updated 12/23/2021
Overview
Mark Douglas Suprock is a Orthopaedic Surgeon in the HUNTERSVILLE area and has over 43 years of experience. Mark Douglas Suprock primary office location is at 10315 HAMPTONS PARK DR and new patients are welcome to contact this healthcare provider for an appointment. He attended Hahnemann University College Of Medicine and graduated 1981
Mark Douglas Suprock is affiliated with one hospital in the HUNTERSVILLE area, CAROLINAS MEDICAL CENTER/BEHAV HEALTH. The NPI number is 1205858339 and the information was updated approximately 3 years ago.
Mark Douglas Suprock is affiliated with one medical group in the HUNTERSVILLE area, ORTHOCAROLINA, PA.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 200601156 | NC |
| Board Certifications |
|---|
| Orthopaedic Surgery |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | N01150 | SC |
| MEDICAID | 1205858339 | NC |
| Taxonomy | State | Primary? |
|---|---|---|
| Orthopaedic Surgeon - Taxonomy Code 207X00000X | NC | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20061102000151 |
| PECOS Individual PAC ID: | 0042217192 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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