MICHAEL SU (NPI# 1245617406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245617406 |
| Entity Type | Individual |
| Full Name | MICHAEL SU |
| Practice Address |
8725 E 32nd St N Wichita KS 67226-4008 |
| Practice Telephone | 3162011202 |
| Practice Fax Number | 3162011251 |
| Mailing Telephone | 3162011202 |
| Mailing Fax Number | 3162011251 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 04-42074 | KS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457440570 | Michael M Su | Pharmacist | 441 North Lakeview Ave., Kaiser Permanante Medical Center In-pt Pharmacy, Anaheim, CA 92870 | 2006-10-12 |
| 1639707326 | Michael Su | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-03-30 |
| 1720630809 | Michael S Su | Dentist | 49114 Van Dyke Ave, Shelby Township, MI 48317-1332 | 2019-07-10 |
| 1790917086 | Michael Su | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095 | 2009-08-20 |
| 1881851004 | Michael Xuehui Su | Psychiatry & Neurology | 130 S Bryn Mawr Ave, Psychiatric Unit, Bryn Mawr, PA 19010-3121 | 2008-05-16 |
| 1013190016 | Michael Hung Su | Dentist | 100 E Huntington Dr, Suite 206, Alhambra, CA 91801-1022 | 2007-12-12 |
| 1699823534 | Michael Ming Ta Su | Family Medicine | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2007-01-08 |
| 1487712162 | Michael C Su | Anesthesiology | 707 Sw Washington St, Ste 700, Portland, OR 97205-3536 | 2006-12-05 |
| 1871501130 | Michael Su | Internal Medicine | 401 Old San Francisco Rd, Sunnyvale, CA 94086-6387 | 2006-08-03 |
| 1285656447 | Michael Wei-chih Su | Dermatology | 2345 Fair Oaks Blvd, Department of Dermatology, Sacramento, CA 95825-4708 | 2006-07-24 |
| Street Address |
8725 E 32ND ST N |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659592582 | Jamie Hannah Woo Page | Pediatrics | 8725 E 32nd St N, Wichita, KS 67226-4008 | 2007-05-01 |
| 1912557372 | Breanna Leigh Doenitz | Registered Nurse | 8725 E 32nd St N, Wichita, KS 67226-4008 | 2019-09-18 |
| 1336591049 | Amanda Gail Divine | Nurse Practitioner | 8725 E 32nd St N, Wichita, KS 67226-4008 | 2016-07-06 |
| 1255617833 | Redbud Pediatrics LLC | Pediatrics | 8725 E 32nd St N, Wichita, KS 67226-4008 | 2011-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
| Find all providers in zip 67226 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239412 | K S Pediatrics LLC | Pediatrics | 6505 E Central Ave Ste 183, Wichita, KS 67206-1924 | 2020-06-11 |
| 1184281131 | Kansas Pediatric Neurology Center LLC | Pediatrics | 10111 E 21st St N Ste 405, Wichita, KS 67206-3508 | 2019-05-24 |
| 1407242241 | Vigilias LLC | Pediatrics | 4704 E Oakland, Wichita, KS 67218-1180 | 2015-04-08 |
| 1639339344 | Tuan Nguyen | Pediatrics | 10100 E Shannon Woods St Ste 108, Wichita, KS 67226-4104 | 2008-06-16 |
| 1659592582 | Jamie Hannah Woo Page | Pediatrics | 8725 E 32nd St N, Wichita, KS 67226-4008 | 2007-05-01 |
| 1508907429 | Lillian Rojo Blue | Pediatrics | 550 N Hillside St Bldg 16th, Ku Wichita Pediatrics, Wichita, KS 67214-4910 | 2007-02-12 |
| 1558454686 | Conrado M Agustin Jr. | Pediatrics | 162 N Hillside St, Wichita, KS 67214-4919 | 2006-10-02 |
| 1790718534 | John G Dupuis | Pediatrics | 14700 W Saint Teresa St Ste 210, Wichita, KS 67235-9601 | 2006-07-07 |
| 1124063755 | J Elizabeth Heflin | Pediatrics | 848 N Saint Francis St Ste 3901, Wichita, KS 67214 | 2006-06-18 |
| 1912950684 | Arun G Kumar | Pediatrics | 162 N Hillside, Wichita, KS 67214 | 2006-05-17 |
| Find all providers in WICHITA | ||||
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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.