SU XU (NPI# 1770743593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770743593 |
| Entity Type | Individual |
| Full Name | SU XU |
| Credential | MD |
| Practice Address |
4915 Ehrlich Rd Tampa FL 33624 |
| Mailing Address |
15416 N Florida Ave Tampa FL 33613-1244 |
| Practice Telephone | 8139602400 |
| Practice Fax Number | 8139602410 |
| Mailing Telephone | 8139602400 |
| Mailing Fax Number | 8139602410 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
ME90020 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME90020 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 0081220 | 01 |
| FL | 102177400 | 05 | |
| FL | FL BLUE | 43262 | 01 |
| FL | MULTIPLAN | 592235385 | 01 |
| FL | UNITED HC | 592235685 | 01 |
| FL | AETNA | 7367680 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396220059 | Su Xu | Pharmacist | 13524 Roosevelt Ave, Flushing, NY 11354-5306 | 2018-09-28 |
| Street Address |
4915 EHRLICH RD |
| City | TAMPA |
| State | FL |
| Zip Code | 33624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932835 | Marla Crist Schenck | Nurse Practitioner | 4915 Ehrlich Rd, Tampa, FL 33624-2038 | 2005-06-20 |
| 1477071538 | Julia Francesca Pizzurro | Nurse Practitioner | 4915 Ehrlich Rd, Tampa, FL 33624-2038 | 2017-09-08 |
| 1902328404 | Avery Dinallo | Nurse Practitioner | 4915 Ehrlich Rd, Tampa, FL 33624-2038 | 2017-07-17 |
| 1154705515 | Cynthia Spencer | Nurse Practitioner | 4915 Ehrlich Rd, Tampa, FL 33624-2038 | 2015-07-16 |
| 1699084392 | Sandra Patricia Carpenter | Nurse Practitioner | 4915 Ehrlich Rd, Tampa, FL 33624-2038 | 2010-09-28 |
| 1033376371 | Maria Isabel Hicks | Dermatology | 4915 Ehrlich Rd, Tampa, FL 33624-2038 | 2008-05-22 |
| 1346304540 | Seth B Forman | Dermatology | 4915 Ehrlich Rd, Tampa, FL 33624-2038 | 2006-12-21 |
| 1134178114 | Healthpoint Medical Group Inc | Family Medicine | 4915 Ehrlich Rd, Tampa, FL 33624-2038 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617380 | Transforming Treasures LLC | Behavioral Analyst | 4810 Centerbrook Ct, Tampa, FL 33624 | 2020-07-30 |
| 1467097642 | Sherryl Lynn Johnson-hanna | Dietitian, Registered | 4904 Rambling Rose Place, Tampa, FL 33624 | 2019-11-12 |
| 1679125926 | Nurse Practitioner On The Go | In Home Supportive Care | 16411 Oak Manor Drive, Tampa, FL 33624 | 2019-07-16 |
| 1427547587 | Sylicia Marks | Counselor | 4105 Brentwood Park Cir, Tampa, FL 33624 | 2018-05-04 |
| 1407352917 | Shelley Von Hightower | Pharmacist | 5008 W. Linebaugh Ave, Suite 35, Tampa, FL 33624 | 2018-04-03 |
| 1972002178 | Zachary Winterberg | Specialist/Technologist | 3821 Northgreen Ave Apt 1407, Tampa, FL 33624 | 2018-02-03 |
| 1013423268 | Beyond Care Home Health LLC | Home Health | 3903 Northdale Bvld, 100e, Tampa, FL 33624 | 2017-12-26 |
| 1285148841 | Gary Donald Kociszewski Jr. | Behavior Technician | 4920 Traskwood Ct, Tampa, FL 33624 | 2017-11-18 |
| 1932611944 | Valerie Lauren Martinez | Behavior Technician | 14039 Wolcott Dr, Tampa, FL 33624 | 2017-10-31 |
| 1073038287 | Mesfin T Araya | Non-emergency Medical Transport (VAN) | 4403 Akita Dr, Tampa, FL 33624 | 2017-08-09 |
| Find all providers in zip 33624 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942416334 | Mary Therese Parisi | Pathology | 17909 Bahama Isle Drive, Tampa, FL 33647 | 2007-05-15 |
| 1912120536 | Pamela M. F. Manolson | Pathology | 20001 Lomond Ln, Tampa, FL 33647-3347 | 2007-04-11 |
| 1093847089 | William Eng | Pathology | 8313 W Hillsborough Ave Ste 320, 8002 Gunn Hwy, Tampa, FL 33615-3802 | 2007-03-12 |
| 1972587004 | George Gibbons | Pathology | 10500 University Center Dr, Ste 175, Tampa, FL 33612-6494 | 2005-12-01 |
| 1386987840 | David Poshi Wang | Pathology | 6001 Memorial Hwy, Tampa, FL 33615-4531 | 2013-04-03 |
| 1417257254 | Wei-shen Chen | Pathology | 13330 Usf Laurel Dr, Tampa, FL 33612 | 2010-10-27 |
| 1376771444 | Paul Rodriguez-waitkus | Pathology | 13330 Usf Laurel Dr Fl 4, Tampa, FL 33612-6601 | 2009-06-29 |
| 1376785923 | Keith Edward Baribault | Pathology | 10500 University Center Dr Ste 200, Tampa, FL 33612-6497 | 2009-03-28 |
| 1699952952 | Leslie Marie Turner | Pathology | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2008-01-29 |
| 1639361447 | Kenneth Calder | Pathology | 10500 University Center Dr, Suite 200, Tampa, FL 33612-6494 | 2007-08-15 |
| Find all providers in TAMPA | ||||
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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.