Peter Su (NPI# 1184664146, PAC ID# 3577691443) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1184664146 |
| PAC ID by PECOS | 3577691443 |
| Professional Enrollment ID | I20100513000631 |
| Full Name | Peter Su |
| Address |
1438 Defense Hwy 201 Gambrills MD 21054-2021 |
| Phone Number | 4107213200 |
| Gender | M |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210043 | UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1438 Defense Hwy 201, Gambrills, MD 21054-2021 | 4107213200 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
1438 DEFENSE HWY 201 |
| City | GAMBRILLS |
| State | MD |
| Zip | 21054-2021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly S Wallace | Family Medicine | 1438 Defense Hwy 201, Gambrills, MD 21054-2021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Leonor Nelson | Nurse Practitioner | 1408 Travers Ct, Gambrills, MD 21054-1054 | |
| John R Greensfelder | Chiropractic | 325 Gambrills Rd A, Gambrills, MD 21054-1102 | |
| Alicia Marie Kovach | Chiropractic | 377 B Gambrills Rd, Gambrills, MD 21054-1125 | |
| Michelle A May | Optometry | 331 Gambrills Rd, Suite 3, Gambrills, MD 21054-1141 | |
| Monica B Francis | Physician Assistant | On Site Dermatology Associates LLC | 730 Md Rt 3, Gambrills, MD 21054-1304 |
| Lance F Caffiero | Podiatry | 2401 Brandermill Blvd, Suite 340, Gambrills, MD 21054-1604 | |
| Tobi D Goldstein | Podiatry | Podiatry Group Pa | 2401 Brandermill Blvd, Suite 340, Gambrills, MD 21054-1604 |
| Vishnupriya G Krishna | Gastroenterology | Digestive Disorders Associates PC | 2401 Brandermill Blvd, Suite 330, Gambrills, MD 21054-1604 |
| Michael Samuel Epstein | Gastroenterology | Digestive Disorders Associates PC | 2401 Brandermill Blvd, Suite 330, Gambrills, MD 21054-1604 |
| Nishith Patel | Optometry | 2626 Brandermill Blvd, Gambrills, MD 21054-1651 | |
| Find all physicians in zip 21054 | |||
| City | GAMBRILLS |
| Zip Code | 21054 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GAMBRILLS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Peter Su.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.