Active NPI
Domingo Suatengco, MD, PC
- Urology Physician
- Fairfax, VA
National Provider Identifier
1932307352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101-041522
- Legal business name
- DOMINGO SUATENGCO, MD, PC
- Practice address
- 3700 Joseph Siewick Dr
Suite 206
Fairfax, VA 22033-1744 - Phone
- (703) 476-0901
- Fax
- (703) 264-9762
- NPI assigned
- Jul 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Domingo Suatengco
- Title
- Doctor
- Phone
- (703) 476-0901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101-041522 | VA | Primary |
Addresses
Primary practice location
3700 Joseph Siewick Dr
Suite 206
Fairfax, VA 22033-1744
Mailing address
3700 Joseph Siewick Dr
Suite 206
Fairfax, VA 22033-1744
Phone (703) 476-0901
National Provider Directory
National Provider DirectoryLocations
3700 Joseph Siewick Dr
Ste 206
Fairfax, VA 22033
Phone (703) 393-0700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202342400000",
"number": "1932307352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 JOSEPH SIEWICK DR",
"address_2": "SUITE 206",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331744",
"telephone_number": "703-476-0901",
"fax_number": "703-264-9762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 JOSEPH SIEWICK DR",
"address_2": "SUITE 206",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331744",
"telephone_number": "703-476-0901",
"fax_number": "703-264-9762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOMINGO SUATENGCO, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-06",
"last_updated": "2008-02-07",
"status": "A",
"authorized_official_last_name": "SUATENGCO",
"authorized_official_first_name": "DOMINGO",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "703-476-0901"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "VA",
"license": "0101-041522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.