MEDICARE: DONALD SUTHERLAND D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	72205	MA
2	207RG0100X	Gastroenterology Physician	2026-00336	NC

General Provider Information

NPI Number	:	1497749725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD SUTHERLAND D.O.

Provider Business Mailing Address
First Line	:	289 PLEASANT ST STE 501
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02721-3005
Country	:	US
Telephone Number	:	508-679-6611
Fax Number	:	508-679-1218

Provider Business Practice Location Address
First Line	:	289 PLEASANT ST
Second Line	:	SUITE 501
City	:	FALL RIVER
State	:	MA
Zip	:	02721-3005
Country	:	US
Telephone Number	:	508-679-6611
Fax Number	:	508-679-1218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2005
Last Update Date	:	03/12/2026

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Directions to “ DONALD SUTHERLAND D.O.” Practice Location

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