DR. RONALD S SUH (NPI# 1164436523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164436523 |
| Entity Type | Individual |
| Full Name | DR. RONALD S SUH |
| Credential | M.D. |
| Practice Address |
1115 Ronald Reagan Pkwy Suite 247 Avon IN 46123-6910 |
| Mailing Address |
679 E County Line Rd Greenwood IN 46143-1049 |
| Practice Telephone | 3172172829 |
| Practice Fax Number | 3172172838 |
| Mailing Telephone | 3178071262 |
| Mailing Fax Number | 3178594268 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2014-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 01060497A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICAID GROUP NUMBER | 100194370 | 01 |
| IN | ANTHEM PIN NUMBER | 000000366998 | 01 |
| IN | MEDICAID GROUP NUMBER | 200288740 | 01 |
| IN | GROUP NPI | 1487680518 | 01 |
| IN | 200523730 | 05 | |
| IN | MEDICARE RAILROAD | P00260933 | 01 |
| Street Address |
1115 RONALD REAGAN PKWY SUITE 247 |
| City | AVON |
| State | IN |
| Zip Code | 46123-6910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679573620 | James C Sloan | Urology | 1115 Ronald Reagan Pkwy, Ste 364, Avon, IN 46123-6910 | 2005-07-29 |
| 1487111274 | Ann Shackelford Reeves | Nurse Practitioner | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2019-02-27 |
| 1215412432 | Heather Renee Seaborne | Registered Nurse | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2018-10-03 |
| 1770959744 | Chelsea Durnil | Pharmacist | 1115 Ronald Reagan Pkwy, Ste 318, Avon, IN 46123-6910 | 2015-08-13 |
| 1578961314 | Urology of Indiana L.l. C. | Durable Medical Equipment & Medical Supplies | 1115 Ronald Reagan Pkwy, Suite 247, Avon, IN 46123-6910 | 2014-12-10 |
| 1639445315 | Thomas A Brady Sports Medicine Ctr | Durable Medical Equipment & Medical Supplies | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2012-03-28 |
| 1912290925 | Kyle Andrew Frick | Internal Medicine | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2011-05-24 |
| 1831405422 | Amanda N Crishon | Audiologist | 1115 Ronald Reagan Pkwy, Ste 225, Avon, IN 46123-6910 | 2010-08-20 |
| 1831410703 | Robert Neal Ingram | Registered Nurse | 1115 Ronald Reagan Pkwy, Pkwy 171, Avon, IN 46123-6910 | 2010-06-15 |
| 1316276363 | Indianapolis Neurosurgical Group | Nurse Practitioner | 1115 Ronald Reagan Pkwy, Suite 148, Avon, IN 46123-6910 | 2009-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821244377 | Wahib E Isac | Urology | 33100 Cleveland Clinic Blvd./avw2-2 Richard E. Jacobs H, Avon, OH 44011 | 2008-08-15 |
| 1780621623 | Robert W. Parzynski | Urology | 1428 Forest Commons Dr, Avon, IN 46123-7597 | 2006-05-31 |
| 1679573620 | James C Sloan | Urology | 1115 Ronald Reagan Pkwy, Ste 364, Avon, IN 46123-6910 | 2005-07-29 |
| 1841542263 | Hartford Healthcare Medical Group, Inc. | Urology | 339 W Main St, Avon, CT 06001-4322 | 2012-10-09 |
| 1619156148 | Miriam M Harel | Urology | 100 Simsbury Rd, Avon, CT 06001-3793 | 2007-11-01 |
| 1861529869 | Connie K Wolf | Urology | 50 Buck Creek Road, Suite 200, Avon, CO 81620 | 2007-02-27 |
| 1033252580 | Stephen J Mohr | Urology | 50 Buck Creek Road, Suite 200, Avon, CO 81620 | 2007-02-15 |
| 1740253483 | Fernando Ferrer | Urology | 100 Simsbury Rd, Suite 208, Avon, CT 06001-3793 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752799 | Mark Alexander Assmus | Urology | 1801 Senate Blvd Ste 220, Indianapolis, IN 46202-1260 | 2020-08-26 |
| 1124653803 | Catherine Baugher | Urology | 2525 W University Ave Ste 504, Muncie, IN 47303-3409 | 2020-03-03 |
| 1245881812 | Carol Jean Stephens | Urology | 1000 N 16th St Ste 210, New Castle, IN 47362-4319 | 2019-09-25 |
| 1376960302 | Mohammad Mahmoud | Urology | 535 Barnhill Dr Ste 150, Indianapolis, IN 46202-5116 | 2014-03-27 |
| 1114364064 | Alexander J Tatem | Urology | 8240 Naab Rd Ste 220, Indianapolis, IN 46260-1950 | 2013-06-03 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1861744997 | Vincent Joseph Santare | Urology | 134 Carnoustie Ln, Schererville, IN 46375-2926 | 2012-10-13 |
| 1821353814 | Little Company of Mary Hospital of Indiana Inc | Urology | 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 | 2012-07-06 |
| 1154681369 | Joshua David Roth | Urology | 705 Riley Hospital Dr Ste 4230, Indianapolis, IN 46202-5109 | 2012-05-22 |
| 1801152210 | Richard James Holloway | Urology | 18799 Arapaho Ln, South Bend, IN 46637 | 2012-04-10 |
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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.