Active NPI
Samuel Suk, MD, PC
Doing business as Doctor/Me
- Geriatric Medicine (Family Medicine) Physician
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 21879
- Legal business name
- SAMUEL SUK, MD, PC
- Doing business as
- Doctor/Me
Samuel Suk - Practice address
- 1500 NW Bethany Blvd Ste 200
Beaverton, OR 97006-5236 - Phone
- (503) 298-3728
- NPI assigned
- Apr 2, 2015
- Last updated
- Jul 21, 2022
- 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
- Dr. Samuel S Suk, M.D.
- Title
- Owner
- Phone
- (503) 298-3728
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 21879 | OR | Primary |
Addresses
Primary practice location
1500 NW Bethany Blvd Ste 200
Beaverton, OR 97006-5236
Mailing address
1500 NW Bethany Blvd
Suite 200
Beaverton, OR 97006-5208
Phone (503) 298-3728
Other names 2
- Doctor/Me
- Samuel Suk
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Medicine (Family Medicine) Physician
- Beaverton, OR
- NPI 1518028976
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Doctor/Me",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Samuel Suk",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaverton, OR
Sources for this page
- 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.