Organization Active NPI

Domingo Suatengco, MD, PC

  • Urology Physician
  • Fairfax, VA
National Provider Identifier
1932307352
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101-041522 Issued in VA
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

Updated by the provider on Feb 7, 2008

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.