OrganizationActive
Joel M Suckow-Md, LLC
NPI 1700335536 · Community/Behavioral Health Agency · Keizer, OR
Joel M Suckow-Md, LLC is a Community/Behavioral Health Agency organization in Keizer, OR (NPI 1700335536).
Provider details
- NPI number
- 1700335536
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tracy Gonzalez, Credentialing Manager(541) 941-7792
- License
- OR MD28195 (OR)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
773 Linda Ave Ne
Keizer, OR 97303-4549
Phone: (971) 808-2854
Fax: (888) 256-7959
Street-level locationGet directions
Mailing address
773 Linda Ave Ne
Keizer, OR 97303-4549
Additional practice locations (1)
- 1215 Sw G StGrants Pass, OR 97526-2544Phone: (541) 476-2373
Registry dates
- Enumerated
- 2016-09-21
- Last updated
- 2023-03-07
- Certified
- 2020-12-11
Frequently asked questions
- What is Joel M Suckow-Md, LLC's NPI number?
- Joel M Suckow-Md, LLC's National Provider Identifier (NPI) is 1700335536, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Joel M Suckow-Md, LLC?
- Joel M Suckow-Md, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Joel M Suckow-Md, LLC located?
- Joel M Suckow-Md, LLC's practice location on file with NPPES is 773 Linda Ave Ne, Keizer, OR 97303-4549.
- What is Joel M Suckow-Md, LLC's phone number?
- The practice phone number listed in the NPPES registry for Joel M Suckow-Md, LLC is (971) 808-2854.
- Who is the authorized official for Joel M Suckow-Md, LLC?
- The authorized official listed on Joel M Suckow-Md, LLC's NPPES record is Tracy Gonzalez, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Joel M Suckow-Md, LLC's NPI active?
- Yes — Joel M Suckow-Md, LLC's NPI (1700335536) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.