Active NPI
Susan Guo, MD
- Radiation Oncology Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD61336649
- Practice address
- 1003 S 5TH St
Tacoma, WA 98405-4210 - Phone
- (253) 403-4994
- Fax
- (253) 403-4991
- NPI assigned
- May 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD61336649 | WA | Primary |
| Radiation Oncology Physician | 2085R0001X | MD2013-0600 | NM |
Addresses
Primary practice location
1003 S 5TH St
Tacoma, WA 98405-4210
Mailing address
PO Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415-0299
Phone (253) 459-8009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18174540 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, WA
- 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
- Radiation Oncology
- Education
- Columbia University College of Physicians and Surgeons, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-2130
317 Martin Luther King Jr Way
Tacoma, WA 98405-4234
317 MLK Jr Way
Multicare Social Work Serv
Tacoma, WA 98405-4234
Phone (253) 403-1126
4545 Point Fosdick Dr
Gig Harbor, WA 98335-1700
Phone (253) 530-8011
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2013-0600 | NM | MD | Radiation Oncology Physician |
| MD61336649 | WA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Gila Regional Medical Center | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Gila Regional Medical Center | Radiation Oncology | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| New Mexico Oncology Hematology Consultants, LTD. | Radiation Oncology | Current | Accepting new patients |
| Multicare Health System | Family Medicine | Past | Accepting new patients |
Locations
4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877
2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052
1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
1003 S 5th St
Tacoma, WA 98405
Phone (253) 403-1676
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Interoperability endpoints
- https://api.platform.athenahealth.com/12922/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Medical Oncology Physician
- Silver City, NM
- NPI 1619053709
Radiation Oncology
-
- Hematology & Oncology Physician
- Albuquerque, NM
- NPI 1164475232
Radiation Oncology
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Community/Behavioral Health Agency
- Auburn, WA
- NPI 1861872178
-
- Critical Access Hospital
- Silver City, NM
- NPI 1336220839
-
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1841258639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1932375805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5299",
"address_2": "MS: 820-5-PCO",
"city": "TACOMA",
"state": "WA",
"postal_code": "984150299",
"telephone_number": "253-459-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 S 5TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054210",
"telephone_number": "253-403-4994",
"fax_number": "253-403-4991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUO",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WA",
"license": "MD61336649",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NM",
"license": "MD2013-0600",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18174540",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.