Samuel Suk, MD, PC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

21879 Issued in OR

Legal business name

SAMUEL SUK, MD, PC

Practice address

1500 NW Bethany Blvd Ste 200
Beaverton, OR 97006-5236

Phone

(503) 298-3728

NPI assigned

Apr 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Samuel S Suk, M.D.

Title

Owner

Phone

(503) 298-3728

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Doctor/Me Doing business as
• Samuel Suk Doing business as

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992190292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW BETHANY BLVD",
            "address_2": "SUITE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065208",
            "telephone_number": "503-298-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW BETHANY BLVD STE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065236",
            "telephone_number": "503-298-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL SUK, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SUK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-298-3728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OR",
            "license": "21879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500692661",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctor/Me",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Samuel Suk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miles Graham Salisbury, LPC
• Sam-U-L, LLC
• Jackeline Samayoa, BCBA
• Jacqueline Sammons, NP-C
• Gwen Sampson
• Joshua Sanchez, D.C.
• Kiora Sanchez
• Suzanne Marie Sanchez, MA, LPC
• Sanctuary Agency LLC
• Nichole M Sandahl, LMT

• Geriatric Medicine (Family Medicine) Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Geriatric Medicine (Family Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.