Active NPI
Jorge Antonio Suarez, MD
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1093846107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J2359
- Practice address
- 8090 Westheimer Rd
Houston, TX 77063-2902 - Phone
- (713) 782-1717
- Fax
- (713) 782-2151
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J2359 | TX | Primary |
Addresses
Primary practice location
8090 Westheimer Rd
Houston, TX 77063-2902
Mailing address
8090 Westheimer Rd
Houston, TX 77063-2902
Phone (713) 782-1717
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0846966-01 | Medicaid | TX | |
| 00K84C | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2359 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219622400000",
"number": "1093846107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8090 WESTHEIMER RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770632902",
"telephone_number": "713-782-1717",
"fax_number": "713-782-2151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8090 WESTHEIMER RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770632902",
"telephone_number": "713-782-1717",
"fax_number": "713-782-2151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "JORGE",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2008-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J2359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0846966-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00K84C",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.