Organization Active NPI

Paul Andrew Sueno MD PLLC

  • Medical Specialty Clinic/Center
  • Tacoma, WA
National Provider Identifier
1194083956
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD60252648 Issued in WA
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

Updated by the provider on Apr 24, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.