Philip Thomas Suger, PHD, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC19371 Issued in CA

Practice address

17700 Arnold Dr
Sonoma, CA 95476-4018

Phone

(415) 515-8449

NPI assigned

Feb 5, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Polygon HQ LLC

  • Multi-Specialty Clinic/Center
  • Sugar Land, TX
  • NPI 1508388224
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1033674924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 LAKEVILLE CIR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545737",
            "telephone_number": "415-515-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17700 ARNOLD DR",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954764018",
            "telephone_number": "415-515-8449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7515 Main St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77030",
            "country_code": "US",
            "telephone_number": "877-992-2848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16255 Kensington Dr",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774794096",
            "country_code": "US",
            "telephone_number": "832-532-0144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGER",
        "first_name": "PHILIP",
        "middle_name": "THOMAS",
        "credential": "PHD, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-05",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01890",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC19371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Stiefvater, MS
• Brett W Stine, D.C.
• Eric Stratton
• Sara Elizabeth Stratton, PA-C
• David G Streeter, M.D.
• Christina Sullivan, M.D.
• SV Hospitalist Medical Group Inc
• Tao Tai Homes, Inc
• Sarah Elizabeth Tasker, LMFT
• Nasreen Taymuree

• Acupuncturist in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.