Suburban Obsyetrics and Gynecology P.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

WA00014632 Issued in WA

Legal business name

SUBURBAN OBSYETRICS AND GYNECOLOGY P.S.

Practice address

12508 58TH Ave NW
Gig Harbor, WA 98332-9141

Phone

(253) 851-3065

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert T Gore, M.D.

Title

President

Phone

(253) 851-3065

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053337287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 58TH AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983329141",
            "telephone_number": "253-851-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12508 58TH AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983329141",
            "telephone_number": "253-851-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN OBSYETRICS AND GYNECOLOGY P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-851-3065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "WA00014632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Daniel Stromstad, LDO
• Emily L Strovink
• Scott Walter Studerus, DDS
• Heidi Lyn Sturgeon
• Jesus Suarez, RN
• Jay Cummings Sullivan, D.O.
• Justine Elise Sullivan
• Kevin Jeremiah Sullivan, MD
• Preston Sullivan, MD
• Shay Sullivan, MS CF-SLP

• Specialist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.