Active NPI
Jason J Suh, MD
- Internal Medicine Physician
- Longview, WA
National Provider Identifier
1437150976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00034987
- Practice address
- 748 14TH Ave
Longview, WA 98632-2315 - Phone
- (360) 501-3601
- Fax
- (360) 501-3648
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00034987 | WA | Primary |
| Hospitalist Physician | 208M00000X | MD00034987 | WA |
Addresses
Primary practice location
748 14TH Ave
Longview, WA 98632-2315
Mailing address
PO Box 249
Longview, WA 98632-7154
Phone (360) 414-2048
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110197712 | Other | RR MEDICARE | |
| 126462 | Other | WA | LABOR & IND. |
| 150259 | Medicaid | OR | |
| 8209124 | Medicaid | WA | |
| 8923177 | Other | WA | CRIME VICTIMS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Washington School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peacehealth
Practice addresses (Care Compare)
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-8300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.12 of 100
- Quality
- 81.91
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 40.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00034987 | WA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Internal Medicine | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Internal Medicine | Current | Accepting new patients |
Locations
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
748 14th Ave
Longview, WA 98632
Phone (360) 200-5419
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
Interoperability endpoints
- jsuh9006@direct.peacehealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Ketchikan, AK
- NPI 1396705539
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Port Townsend, WA
- NPI 1104950039
-
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Silverdale, WA
- NPI 1467664631
Hospital
-
- Critical Access Hospital
- Ketchikan, AK
- NPI 1396705539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305504000000",
"number": "1437150976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 249",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986327154",
"telephone_number": "360-414-2048",
"fax_number": "360-575-6749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "748 14TH AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322315",
"telephone_number": "360-501-3601",
"fax_number": "360-501-3648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUH",
"first_name": "JASON",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2011-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00034987",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD00034987",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110197712",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & IND.",
"identifier": "126462",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150259",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8209124",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8923177",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.