Demetrio Banaglorioso Suguitan Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD60573558 Issued in WA

Practice address

3925 159TH Ave NE
Redmond, WA 98052-6309

Phone

(425) 216-0550

Fax

(425) 216-0551

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Booneville Community Hospital, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Booneville, AR
  • NPI 1598842643
  NPD (past)
• Booneville Community Hospital, Inc.

  • Critical Access Hospital
  • Booneville, AR
  • NPI 1073518593
  NPD (past)
• Booneville Family Clinic

  • Family Medicine Physician
  • Booneville, AR
  • NPI 1922006790
  NPD (past)
• Sparks Medical Foundation

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1386634285
  NPD (past)
• Sparks Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Fort Smith, AR
  • NPI 1851496319
  NPD (past)
• Sparks Medical Foundation

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1932204369
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1881729481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 159TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526309",
            "telephone_number": "425-216-0550",
            "fax_number": "425-216-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 159TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526309",
            "telephone_number": "425-216-0550",
            "fax_number": "425-216-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGUITAN",
        "first_name": "DEMETRIO",
        "middle_name": "BANAGLORIOSO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60573558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie M Su, DDS
• Susana F Su, M.D.
• Leitzsey Y Suber, DDS
• Harleen Subherwal, DDS
• Raymond Jason Sue, D.C.
• Sukun Counseling PLLC
• Mary Catherine Sullivan
• Sandra J. Sultan, M.D.
• Michael C Sun, RPH
• Danette Marie Sundberg, MA, LMHC

• Family Medicine Physician in Redmond, WA
• Providers in Redmond, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.