DR. HENRY SU (NPI# 1639141575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639141575 |
| Entity Type | Individual |
| Full Name | DR. HENRY SU |
| Credential | MD, PHD |
| Practice Address |
1723 Washington St 502 Boston MA 02118-1820 |
| Practice Telephone | 6179277590 |
| Enumeration Date | 2006-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
224413 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902033913 | Henry Su | Internal Medicine | 1043 Elm Ave Ste 301, Long Beach, CA 90813-3295 | 2009-06-17 |
| 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 |
| 1235111766 | Henry Su | Internal Medicine | 11521 Ne 128th St, Suite 130, Kirkland, WA 98034-4317 | 2005-11-18 |
| Street Address |
1723 WASHINGTON ST 502 |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604570 | Yarab Mubarak Habib Al Bulushi | Radiology | 330 Brookline Ave Dept of Radiology, Boston, MA 02215-5400 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1417507740 | Daniel Andres Vargas Zapata | Radiology | 330 Brookline Ave # Es-215, Boston, MA 02215-5491 | 2019-09-18 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1790270239 | Rahul Gujrathi | Radiology | 450 Brookline Ave Dana-farber Cancer Institute, Department of Imaging Dl-198, Boston, MA 02215 | 2018-06-27 |
| 1700381282 | Casey Keith Bishop | Radiology | 820 Harrison Ave Dept Of, Boston, MA 02118-2905 | 2018-03-27 |
| 1922517713 | Arwa Alzaghal | Radiology | Department of Radiology, Brigham & Women's Hospital, 75 Francis Street, Boston, MA 02115 | 2017-09-25 |
| 1053838623 | Tyler Michael Coupal | Radiology | 55 Fruit Street, Yawkey 6e, Musculoskeletal Imaging, Massachusetts General Hospital, Boston, MA 02114 | 2017-08-24 |
| 1912439068 | Hamza Rahimi | Radiology | 820 Harrison Ave Fgh Building 3rd Floor, Boston, MA 02118 | 2017-03-29 |
| 1467983106 | Donghoon Derek Shin | Radiology | 820 Harrison Ave # Fgh3022, Boston, MA 02118 | 2017-03-24 |
| Find all providers in BOSTON | ||||
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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.