DR. DAVID L SUSTARSIC


Address: 511 Medical Plaza Dr, Suite 101, Leesburg, FL 34748-7326
Phone: 3527286808

DR. DAVID L SUSTARSIC (NPI# 1134183130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134183130
Entity Type Individual
Full Name DR. DAVID L SUSTARSIC
Credential M.D.
Practice Address 511 Medical Plaza Dr
Suite 101
Leesburg
FL 34748-7326
Practice Telephone 3527286808
Practice Fax Number 3527281743
Mailing Telephone 3527286808
Mailing Fax Number 3527281743
Enumeration Date 2006-04-14
Last Update Date 2012-05-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery ME43704 FL Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
ME43704 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 040867100 05
FL BLUE CROSS BLUE SHIELD 35206 01

Office Location

Street Address 511 MEDICAL PLAZA DR
SUITE 101
City LEESBURG
State FL
Zip Code 34748-7326

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346243136 Patrick Kevin Williams Internal Medicine 511 Medical Plaza Dr, Suite 101, Leesburg, FL 34748-7326 2005-05-24
1811523103 Natalie Lam Nurse Practitioner 511 Medical Plaza Dr, Leesburg, FL 34748-7326 2020-03-18
1942552997 Deborah Pate Nurse Practitioner 511 Medical Plaza Dr, #101, Leesburg, FL 34748-7326 2012-10-15
1437458668 Starx Pharmacy Inc Pharmacy 511 Medical Plaza Dr, Leesburg, FL 34748-7326 2011-03-28
1609171180 Marwan Mihyu Internal Medicine 511 Medical Plaza Dr, Suite 101, Leesburg, FL 34748-7326 2011-01-14
1215252382 Mary P Sloan Registered Nurse 511 Medical Plaza Dr, Suite 101, Leesburg, FL 34748-7326 2010-04-01
1194892240 John G Egolf Nurse Practitioner 511 Medical Plaza Dr, Suite 101, Leesburg, FL 34748-7326 2006-11-30
1376519215 Fouad M Shami Urology 511 Medical Plaza Dr, Suite 101, Leesburg, FL 34748-7326 2006-02-28
1386621514 Central Florida Ultrasonics, Inc Radiologic Technologist 511 Medical Plaza Dr, Suite 102, Leesburg, FL 34748-7326 2005-12-29
1275527616 Robert T Meade Internal Medicine 511 Medical Plaza Dr, Suite 101, Leesburg, FL 34748-7326 2005-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437610243 Ashley Shamsa Martin Behavior Technician 292 Bent Oak Ct, Leesburg, FL 34748 2019-03-26
1891278875 Luis O Aponte Mendoza Physician Assistant 704 Doctors Ct., Suite 101, Leesburg, FL 34748 2018-09-14
1881197903 Physician Associates LLC Internal Medicine 22316 Us Highway 27, Leesburg, FL 34748 2018-03-15
1184136145 Infinite Support Services LLC In Home Supportive Care 129 Grove Ridge Circle, 104, Leesburg, FL 34748 2017-10-31
1619403037 Massage and Wellness Care Health Maintenance Organization 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 2017-05-04
1497202675 Prime Radiology of Leesburg Inc Radiology 600 N W Blvd, Suite E, Leesburg, FL 34748 2016-09-06
1023480332 Juanita Elizabeth Simpson Contractor 1911 Harcourt Drive, Leesburg, FL 34748 2015-10-26
1467835900 Serenity Choice Place, LLC Community/Behavioral Health 721 Balmoral Circle, Leesburg, FL 34748 2015-07-01
1356738397 Touching Heart's Group Homes, LLC Community/Behavioral Health 31809 Sunpark Cir, Leesburg, FL 34748 2015-04-16
1386035269 Adventist Health System/sunbelt, Inc. Clinic/Center 1103 N 14th Street, Leesburg, FL 34748 2015-02-12
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396093043 Gerard F. Melanson M.d., LLC Surgery 1016 North Blvd, East, Leesburg, FL 34748-5348 2012-08-28
1487788956 Reagan Wei Quan Surgery 44055 Riverside Pkwy Ste 226, Leesburg, VA 20176-5177 2007-03-15
1558412486 Samuel Bundz Md Pa Surgery 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 2007-01-16
1174604094 Yohannes Mahtemework Surgery 528 Legrace Ter Ne, Leesburg, VA 20176-1828 2006-10-18
1558745794 Loudoun Medical Group PC Surgery 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 2015-07-17
1275970618 Physician Surgical Assists, LLC Surgery 224-d Cornwall Street, Nw, Suite 300, Leesburg, VA 20176 2013-05-24
1134416290 John Johnson Mcelveen Jr. Surgery 19441 Golf Vista Plz Ste 230&310, Leesburg, VA 20176-8269 2011-07-08
1104063114 Leesburg Regional Medical Center Physician Services LLC Surgery 600 E Dixie Ave, Leesburg, FL 34748-5925 2009-01-13
1659538478 Virginia P Madey Surgery 44055 Riverside Pkwy, Suite 246, Leesburg, VA 20176-5179 2008-05-20
1457548844 Samuel Bundz Surgery 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 2007-09-28
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Competitor

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City LEESBURG
Zip Code 34748

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Dataset Information

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.

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