EDWARD T SU (NPI# 1033188156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033188156 |
Entity Type | Individual |
Full Name | EDWARD T SU |
Credential | MD |
Practice Address |
3580 Arcade St Vadnais Heights MN 55127-7135 |
Mailing Address |
710 Commerce Dr Ste 200 Woodbury MN 55125-4925 |
Practice Telephone | 6519685770 |
Practice Fax Number | 6519685775 |
Mailing Telephone | 6519685042 |
Mailing Fax Number | 6519685904 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2015-07-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
47790 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | RAILROAD MEDICARE | P00265354 | 01 |
MN | 926459100 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689124489 | Edward Su | Pharmacist | 2352 Olive Ave, Fremont, CA 94539-5160 | 2016-10-05 |
1306221742 | Edward Su | Pharmacist | 1155 W Central Ave Ste 112, Santa Ana, CA 92707-3100 | 2015-07-28 |
Street Address |
3580 ARCADE ST |
City | VADNAIS HEIGHTS |
State | MN |
Zip Code | 55127-7135 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972573566 | Kirk Leslie Scofield | Family Medicine | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2006-01-25 |
1679069751 | Caitlin Dewitt | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2018-07-02 |
1760986624 | Diandra Shakira Williams | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127 | 2018-03-23 |
1912420704 | William R Turnquist | Specialist/Technologist, Other | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2017-07-24 |
1174045884 | Trista Lee Norris | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2017-07-13 |
1255860268 | Jessie Lauren Marolt | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2017-06-05 |
1710410246 | Samuel Rauchwarter | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2017-04-11 |
1457701286 | Lori A Fredericks | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2016-06-13 |
1730536665 | Rachel A Hedden | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2016-05-20 |
1144696980 | Rachel M Silbert | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2015-08-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013514058 | Taylor Nessa Draves | Behavior Technician | 1011 Meadowlamds Dr, White Bear Lake, MN 55127 | 2020-10-02 |
1578104196 | Patricia Lynn Bina | Technician | 3677 Centerville Rd, Vadnais Heights, MN 55127 | 2019-10-04 |
1023538469 | Dignicare Senior Management of Vadnais | Assisted Living Facility | 580 Liberty Way, Vadnais Heights, MN 55127 | 2017-06-27 |
1548610207 | Golden Elderly Care Suites LLC | Assisted Living Facility | 4624 Stoddart Circle, White Bear Lake, MN 55127 | 2016-06-14 |
1811018203 | Adam F Curtis | Dentist | 925 East County Road E, Suite 185, Vadnais Heights, MN 55127 | 2007-04-03 |
1134215700 | Phoenix Residence, Inc. | Intermediate Care Facility, Mentally Retarded | 785 E County Road E, Vadnais Heights, NE 55127 | 2006-10-04 |
1861404790 | Gerald James Pease | Optometrist | 850 East Co Rd E, Walmart Vision Center, Vadnais Heights, MN 55127 | 2006-08-12 |
1235629395 | Suite Living Senior Management | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55127 | 2018-05-15 |
1811370729 | Sonya L Knudson | Psychologist | 4444 Centerville Rd Ste 235, White Bear Lake, MN 55127 | 2015-07-09 |
1801275672 | Anne M Mcdonald | Social Worker | 4444 Centerville Road, Suite 235, White Bear Lake, MN 55127 | 2015-05-26 |
Find all providers in zip 55127 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447322011 | Steven Demetrious Meletiou | Orthopaedic Surgery | 3545 Highway 61 N, Vadnais Heights, MN 55110-5223 | 2006-11-15 |
1215358346 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2013-12-16 |
1700992492 | Michael J Forseth | Orthopaedic Surgery | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2006-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831493733 | Peter J. Strand | Orthopaedic Surgery | 16943 Miller Ln, Deerwood, MN 56444-8570 | 2011-01-06 |
1659581627 | Christina M Ward | Orthopaedic Surgery | 401 Phalen Blvd - Ms 41104h, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2007-05-22 |
1952701187 | Ali Izadpanah | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2014-08-25 |
1942620687 | Eric Rohman | Orthopaedic Surgery | 9555 Upland Ln N, Maple Grove, MN 55369-4485 | 2014-04-21 |
1922341932 | John Patrick Delaney | Orthopaedic Surgery | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2013-03-28 |
1447506183 | Nina Suh | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-07-31 |
1316265499 | Jennifer Kay Wozniczka | Orthopaedic Surgery | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2010-05-13 |
1912232745 | Tod Andrew Clark | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-10-13 |
1326372509 | Jennifer Giuffre | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-09-22 |
1760614242 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2009-08-17 |
Find all providers with the same taxonomy |
City | VADNAIS HEIGHTS |
Zip Code | 55127 |
Please comment or provide details below to improve the information on EDWARD T SU.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.