DR. HENRY SU (NPI# 1235111766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235111766 |
| Entity Type | Individual |
| Full Name | DR. HENRY SU |
| Credential | MD |
| Practice Address |
11521 Ne 128th St Suite 130 Kirkland WA 98034-4317 |
| Mailing Address |
Po Box 34036 Seattle WA 98124-1036 |
| Practice Telephone | 4258994280 |
| Practice Fax Number | 4258994294 |
| Mailing Telephone | 4258993292 |
| Mailing Fax Number | 4258993269 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2013-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD00035246 | WA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD00035246 | WA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD00035246 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
MD00035246 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 160728 | 01 |
| WA | BLUE SHIELD | 5369SU | 01 |
| WA | MEDICARE RAILROAD | 110240569 | 01 |
| WA | 8226995 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902033913 | Henry Su | Internal Medicine | 1043 Elm Ave Ste 301, Long Beach, CA 90813-3295 | 2009-06-17 |
| 1639141575 | Henry Su | Radiology | 1723 Washington St, 502, Boston, MA 02118-1820 | 2006-02-05 |
| 1396204632 | Henry Kangming Su | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2696 | 2019-03-17 |
| 1568493831 | Henry Y Su | Specialist | 6410 Fannin St, #200, Houston, TX 77030-3000 | 2006-07-05 |
| 1174594253 | Henry H. Su | Obstetrics & Gynecology | 841 E Hunting Park Ave, Suite 201, Philadelphia, PA 19124-4800 | 2006-01-27 |
| Street Address |
11521 NE 128TH ST SUITE 130 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657003 | Ryan Michael Culala | Pharmacist | 11521 Ne 128th St, Ste 100, Kirkland, WA 98034-4317 | 2005-05-27 |
| 1164876322 | Evergreenhealth | Clinic/Center | 11521 Ne 128th St, Suite 100, Kirkland, WA 98034-4317 | 2016-04-14 |
| 1407105463 | Ashley Rohde | Nurse Practitioner | 11521 Ne 128th St, Kirkland, WA 98034-4317 | 2012-09-06 |
| 1760775019 | Susan M Learn | Nurse Practitioner | 11521 Ne 128th St, #100, Kirkland, WA 98034-4317 | 2011-05-19 |
| 1518298835 | Monika Rajpal | Pharmacist | 11521 Ne 128th St, Suite 100, Kirkland, WA 98034-4317 | 2010-01-26 |
| 1548350713 | King County Public Hospital District No 2 | Internal Medicine | 11521 Ne 128th St, Ste 100, Kirkland, WA 98034-4317 | 2006-10-16 |
| 1750482949 | King County Public Hospital District No 2 | Internal Medicine | 11521 Ne 128th St, Ste 130, Kirkland, WA 98034-4317 | 2006-09-26 |
| 1851402440 | Vernan I Atienza | Internal Medicine | 11521 Ne 128th St, Suite 100, Kirkland, WA 98034-4317 | 2006-08-31 |
| 1134102312 | Stephen Wallingford Price | Physician Assistant | 11521 Ne 128th St, Suite 100, Kirkland, WA 98034-4317 | 2005-11-22 |
| 1578546768 | Connie Jo Smith | Internal Medicine | 11521 Ne 128th St, Suite 100, Kirkland, WA 98034-4317 | 2005-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073850 | Sleep Insitute of Spokane, Pllc | Internal Medicine | 324 S Sherman St Ste 5, Spokane, WA 99202-1461 | 2020-02-03 |
| 1881074649 | The Polyclinic | Internal Medicine | 1414 10th Ave, Seattle, WA 98122-3857 | 2015-06-05 |
| 1114106945 | Teresa E. Jacobs, Md, Ps | Internal Medicine | 1380 112th Ave Ne Ste 307, Bellevue, WA 98004-3759 | 2007-10-29 |
| 1508078627 | John M Shima Md Ps | Internal Medicine | 460 West E St, Forks, WA 98331 | 2007-05-03 |
| 1700998747 | Usha K Reddi | Internal Medicine | 777 N 5th Ave Ste 106, Sequim, WA 98382-3080 | 2006-08-31 |
| 1578673703 | Stephen S Chung | Internal Medicine | 19 Southpoint Ln, Walla Walla, WA 99362-4175 | 2006-08-30 |
| 1639132871 | Frankie R Roman | Internal Medicine | 13020 Meridian Ave S, Everett, WA 98208 | 2006-04-10 |
| 1285633735 | Teresa E. Jacobs | Internal Medicine | 1380 112th Ave Ne #307, Bellevue, WA 98004-3759 | 2005-07-18 |
| 1023650314 | Us Home Sleep Test Pllc | Internal Medicine | 1414 116th Ave Ne Ste F, Bellevue, WA 98004-3801 | 2019-10-08 |
| 1336668839 | Memorial Physicians, Pllc | Internal Medicine | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2017-09-15 |
| Find all providers with the same taxonomy | ||||
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| 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.