Active NPI
Marc Ira Suffis, M.D.
- Occupational Medicine Physician
- Silverdale, WA
National Provider Identifier
1801832050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- MD00019185
- Practice address
- 4409 NW Anderson Hill Rd
Silverdale, WA 98383-6807 - Phone
- (360) 698-6630
- NPI assigned
- Jun 22, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD00019185 | WA | |
| Occupational Medicine Physician | 2083X0100X | MD00019185 | WA | Primary |
Addresses
Primary practice location
4409 NW Anderson Hill Rd
Silverdale, WA 98383-6807
Mailing address
4409 NW Anderson Hill Rd
Silverdale, WA 98383-6807
Phone (360) 698-6630
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8927126 | Other | WA | CRIME VICTIMS COMP |
| 4292890 | Other | AETNA | |
| SU9526 | Other | REGENCE BLUE SHIELD | |
| 107658 | Other | WA | LABOR & INDUSTRIES |
| 1073121 | Medicaid | WA | |
| 182213 | Other | WA | LABOR & INDUSTRIES |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00019185 | WA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1801832050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4409 NW ANDERSON HILL RD",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983836807",
"telephone_number": "360-698-6630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4409 NW ANDERSON HILL RD",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983836807",
"telephone_number": "360-698-6630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUFFIS",
"first_name": "MARC",
"middle_name": "IRA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD00019185",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "WA",
"license": "MD00019185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS COMP",
"identifier": "8927126",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4292890",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "SU9526",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "107658",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073121",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "182213",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.