Yong S Suh

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DPM425 Issued in TN

Legal business name

YONG S SUH

Doing business as

Footcare of Lebanon

Practice address

1405 W Baddour Pkwy Ste 104
Lebanon, TN 37087-2674

Phone

(615) 453-5440

Fax

(615) 453-5441

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

Yong Suk SuhNPI 1588656664

Title

Owner/Physician

Phone

(615) 453-5440

Specialties & licenses 1

Addresses

Other names 1

• FOOTCARE OF LEBANON Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yong Suk Suh, D.P.M.

  • Podiatrist
  • Lebanon, TN
  • NPI 1588656664
  NPD Authorized official

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1407024235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W BADDOUR PKWY STE 104",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872674",
            "telephone_number": "615-453-5440",
            "fax_number": "615-453-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W BADDOUR PKWY STE 104",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872674",
            "telephone_number": "615-453-5440",
            "fax_number": "615-453-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONG S SUH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "SUK",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "615-453-5440"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOTCARE OF LEBANON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.