Active NPI
Paul Andrew Sueno MD PLLC
- Medical Specialty Clinic/Center
- Tacoma, WA
National Provider Identifier
1194083956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- MD60252648
- Legal business name
- PAUL ANDREW SUENO MD PLLC
- Practice address
- 2411 S 19TH St
Tacoma, WA 98405-2954 - Phone
- (253) 302-5189
- Fax
- (253) 302-5940
- NPI assigned
- Apr 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul A Sueno, MD
- Title
- Member
- Phone
- (253) 302-5189
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | MD60252648 | WA | Primary |
Addresses
Primary practice location
2411 S 19TH St
Tacoma, WA 98405-2954
Mailing address
PO Box 110518
Tacoma, WA 98411-0518
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366761600000",
"number": "1194083956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110518",
"city": "TACOMA",
"state": "WA",
"postal_code": "984110518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 S 19TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052954",
"telephone_number": "253-302-5189",
"fax_number": "253-302-5940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL ANDREW SUENO MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-30",
"last_updated": "2013-04-24",
"status": "A",
"authorized_official_last_name": "SUENO",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "253-302-5189",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "WA",
"license": "MD60252648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.