Michael X Su (NPI# 1881851004, PAC ID# 3870744931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1881851004 |
| PAC ID by PECOS | 3870744931 |
| Professional Enrollment ID | I20150225001587 |
| Full Name | Michael X Su |
| Organization Legal Name | MAIN LINE HEALTHCARE |
| Address |
130 S Bryn Mawr Ave Bryn Mawr PA 19010-3121 |
| Gender | M |
| Graduation Year | 1991 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1951215201 |
| Number of Group Practice Members | 572 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390139 | BRYN MAWR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | MAIN LINE HEALTHCARE | |
| 130 S Bryn Mawr Ave H, 321 Gvh Hospital Medical Services Bryn, Bryn Mawr, PA 19010-3121 | 4843374097 | MAIN LINE HEALTHCARE |
| Organization Legal Name | MAIN LINE HEALTHCARE |
| Physicians | 627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gaurav Pradeep Jadhav | Hospitalist | Main Line Healthcare | 1068 W Baltimore Pike, Media, PA 19063-5104 |
| Emilia Kleinman | Family Medicine | Main Line Healthcare | 154 Exton Square Mall, Family Medicine At Exton Square, Exton, PA 19341-2440 |
| Daniel Wang | Hospitalist | Main Line Healthcare | 100 E Lancaster Ave, Wynewood, PA 19096-3450 |
| Lindsey E Cobbett | Family Medicine | Main Line Healthcare | 1991 Sproul Rd, Suite 625, Broomall, PA 19008-3524 |
| Damaris S Wessel | Family Medicine | Main Line Healthcare | 933 E Haverford Rd, Bryn Mawr, PA 19010-3819 |
| Raya D Terry | Hospitalist | Main Line Healthcare | 130 S Bryn Mawr Ave H, 321 Gvh Hospital Medical Services Bryn, Bryn Mawr, PA 19010-3121 |
| Gregory C Bolton Sr. | Obstetrics/gynecology | Main Line Healthcare | 301 E City Ave, 100 Main Line Healthcare, Bala Cynwyd, PA 19004-1738 |
| Eric R Ginn | Hospitalist | Main Line Healthcare | 830 Old Lancaster Rd, Bryn Mawr, PA 19010-3118 |
| Catherine M Bergan | Family Medicine | Main Line Healthcare | 1601 Mcdaniel Dr, Suite 50, West Chester, PA 19380-7030 |
| Andrea J Becker | Cardiovascular Disease (cardiology) | Main Line Healthcare | 1100 Hector St, Suite 105, Conshohocken, PA 19428-2374 |
| Street Address |
130 S BRYN MAWR AVE |
| City | BRYN MAWR |
| State | PA |
| Zip | 19010-3121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig E. Carpenter | Certified Registered Nurse Anesthetist (crna) | United Anesthesia Services PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
| Margaret M Obrien | Anesthesiology | United Anesthesia Services PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
| Jyl M Chandler | Certified Registered Nurse Anesthetist (crna) | United Anesthesia Services PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
| Sivaranjani Penna | Hospitalist | Main Line Healthcare | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
| Lisa M Deppen | Certified Registered Nurse Anesthetist (crna) | United Anesthesia Services PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
| Leslie P Cahill | Certified Registered Nurse Anesthetist (crna) | United Anesthesia Services PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
| Shotaro Imaizumi | Pathology | Main Line Pathology Associates, PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
| Edina H Grujic | Pathology | Main Line Pathology Associates, PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
| Lee L Peng | Hospitalist | Main Line Healthcare | 130 S Bryn Mawr Ave, H 321, Bryn Mawr, PA 19010-3121 |
| Stephanie M Brian | Anesthesiology | United Anesthesia Services PC | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Talya L Escogido | Psychologist, Clinical | 404 Cheswick Pl, Rosemont, PA 19010-1251 | |
| Rachel Beth Anolik | Dermatology | Bryn Mawr Skin and Cancer Instititue | 919 Conestoga Rd, Suite 106 Bldg 2, Bryn Mawr, PA 19010-1352 |
| Mehrdad M Soroush | Urology | Centers for Advanced Urology LLC | 919 Conestoga Rd, Suite 300, Bryn Mawr, PA 19010-1352 |
| David E Mcginnis | Urology | Centers for Advanced Urology LLC | 919 Conestoga Rd, Suite 300, Bryn Mawr, PA 19010-1352 |
| Xianmin Meng | Pathology | Regional Womens Health Group LLC | 919 Conestoga Rd, Suite 104, Bryn Mawr, PA 19010-1352 |
| Kai Wu | Obstetrics/gynecology | Regional Womens Health Group LLC | 919 Conestoga Rd, Suite 104, Bryn Mawr, PA 19010-1352 |
| Margaret A Burns | Obstetrics/gynecology | Regional Womens Health Group LLC | 919 Conestoga Rd, Suite 104, Bryn Mawr, PA 19010-1352 |
| Wendy B Ronco | Nurse Practitioner | Regional Womens Health Group LLC | 919 Conestoga Rd, Suite 104, Bryn Mawr, PA 19010-1352 |
| Maureen Gallagher | Nurse Practitioner | Regional Womens Health Group LLC | 919 Conestoga Rd, Suite 104, Bryn Mawr, PA 19010-1352 |
| William R Atkins | Obstetrics/gynecology | Regional Womens Health Group LLC | 919 Conestoga Rd, Suite 104, Bryn Mawr, PA 19010-1352 |
| Find all physicians in zip 19010 | |||
| City | BRYN MAWR |
| Zip Code | 19010 |
| Specialty | PSYCHIATRY |
| City + Specialty | BRYN MAWR + PSYCHIATRY |
Please comment or provide details below to improve the information on Michael X 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.