DR. WILBER SU (NPI# 1689618084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689618084 |
| Entity Type | Individual |
| Full Name | DR. WILBER SU |
| Credential | MD |
| Practice Address |
1300 N 12th St Suite 407 Phoenix AZ 85006-2848 |
| Practice Telephone | 6028397393 |
| Practice Fax Number | 6028397661 |
| Mailing Telephone | 6028397393 |
| Mailing Fax Number | 6028397661 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
34004 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
34004 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DEA | BS6092124 | 01 |
| Street Address |
1300 N 12TH ST SUITE 407 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192590 | William Walter Holland | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2005-05-24 |
| 1699235127 | Mary Mihalko | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Phoenix, AZ 85006-2848 | 2019-03-21 |
| 1447779608 | Sara Marie Sorace | Physician Assistant | 1300 N 12th St, Phoenix, AZ 85006-2848 | 2017-09-19 |
| 1104350990 | Hillary Tamar | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-18 |
| 1669906459 | Michelle Sommer | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-18 |
| 1922532712 | Herbert Rosenbaum | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-18 |
| 1992239909 | Karalyne Blochberger | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-17 |
| 1104350123 | Akua Ekunwe | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-17 |
| 1073047098 | Viktoria Krajnc | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-17 |
| 1568995876 | Stefanie Handrick Brichta | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Suite 320, Phoenix, AZ 85006-2848 | 2017-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386159606 | Phoenix Area Cardiology and Electrophysiology LLC | Internal Medicine | 1331 N 7th St Ste 400, Phoenix, AZ 85006-2779 | 2017-12-08 |
| 1770612848 | Akash Makkar | Internal Medicine | 2929 E Camelback Rd Ste 116, Phoenix, AZ 85016-4425 | 2007-03-05 |
| 1891795993 | Ashok Garg | Internal Medicine | 4550 E Bell Rd Ste 158, Phoenix, AZ 85032-9382 | 2005-07-29 |
| 1427051929 | Vijendra Swarup | Internal Medicine | 1848 E Thomas Rd Ste 100, Phoenix, AZ 85016-8112 | 2005-05-27 |
| 1992288567 | Robert Lemery | Internal Medicine | 1848 E Thomas Rd, Ste 100, Phoenix, AZ 85016-8112 | 2018-09-10 |
| 1699265207 | Akash Makkar Pllc | Internal Medicine | 2929 E Camelback Rd Ste 116, Phoenix, AZ 85016-4425 | 2018-05-18 |
| 1902243314 | Integrated Medical Services Inc | Internal Medicine | 500 W Thomas Rd Ste 750, Phoenix, AZ 85013-4222 | 2013-05-24 |
| 1073801627 | Arrhythmia Associates of Arizona, Plc | Internal Medicine | 525 N 18th St, Ste 501, Phoenix, AZ 85006-4102 | 2011-07-18 |
| 1255642880 | Advanced Cardiac Echo, LLC | Internal Medicine | 6036 N 19th Ave Ste 405, Phoenix, AZ 85015-2142 | 2010-06-29 |
| 1356663736 | Swarup PC | Internal Medicine | 500 W Thomas Rd, Ste 750, Phoenix, AZ 85013-4224 | 2010-02-25 |
| Find all providers in PHOENIX | ||||
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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.