DR. HENRY H. SU (NPI# 1174594253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174594253 |
| Entity Type | Individual |
| Full Name | DR. HENRY H. SU |
| Credential | D.O. |
| Practice Address |
841 E Hunting Park Ave Suite 201 Philadelphia PA 19124-4800 |
| Mailing Address |
1412 Fairmount Ave Philadelphia PA 19130-2908 |
| Practice Telephone | 2155377695 |
| Practice Fax Number | 2155377001 |
| Mailing Telephone | 2155994851 |
| Mailing Fax Number | 2152324093 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2015-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | OS009559L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0017734940005 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902033913 | Henry Su | Internal Medicine | 1043 Elm Ave Ste 301, Long Beach, CA 90813-3295 | 2009-06-17 |
| 1639141575 | Henry Su | Radiology | 1723 Washington St, 502, Boston, MA 02118-1820 | 2006-02-05 |
| 1396204632 | Henry Kangming Su | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2696 | 2019-03-17 |
| 1568493831 | Henry Y Su | Specialist | 6410 Fannin St, #200, Houston, TX 77030-3000 | 2006-07-05 |
| 1235111766 | Henry Su | Internal Medicine | 11521 Ne 128th St, Suite 130, Kirkland, WA 98034-4317 | 2005-11-18 |
| Street Address |
841 E HUNTING PARK AVE SUITE 201 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19124-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427910 | Carl Nelson Liedman | Family Medicine | 841 E Hunting Park Ave, Suite 110, Philadelphia, PA 19124-4800 | 2005-06-17 |
| 1760095731 | Ashley Ann Brader | Physical Therapy Assistant | 841 E Hunting Park Ave, Philadelphia, PA 19124-4800 | 2020-08-28 |
| 1689128944 | Kevin Kearney Jr. | Physical Therapist | 841 E Hunting Park Ave, Philadelphia, PA 19124-4800 | 2016-08-04 |
| 1528434446 | Richard J Walsh | Physical Therapist | 841 E Hunting Park Ave, Philadelphia, PA 19124-4800 | 2015-08-14 |
| 1285032219 | Leonard Bustos | Physical Therapist | 841 E Hunting Park Ave, Philadelphia, PA 19124-4800 | 2014-12-08 |
| 1851657183 | Kira R Delong | Nurse Practitioner | 841 E Hunting Park Ave, Suite 201, Philadelphia, PA 19124-4800 | 2012-04-11 |
| 1922300409 | Smiths Pharmacy II | Pharmacy | 841 E Hunting Park Ave, Philadelphia, PA 19124-4800 | 2010-12-03 |
| 1740440031 | Lauren M Elliott | Physician Assistant | 841 E Hunting Park Ave, Suite 201, Philadelphia, PA 19124-4800 | 2008-06-11 |
| 1689873911 | Delaware Valley Community Health, Inc. | Clinic/Center | 841 E Hunting Park Ave, Suite 201, Philadelphia, PA 19124-4800 | 2007-07-17 |
| 1467480319 | Segundo Ramon Rodriguez | Podiatrist | 841 E Hunting Park Ave, Suite 201, Philadelphia, PA 19124-4800 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027557 | Tal Avigal Lee | Obstetrics & Gynecology | 1109 Green St Apt 11, Philadelphia, PA 19123-3326 | 2020-06-10 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1477011401 | Diane D. Harrison | Obstetrics & Gynecology | 236 Philip Pl, Philadelphia, PA 19106-3902 | 2019-03-08 |
| 1720570963 | Tiffany Fernandes Gee | Obstetrics & Gynecology | 3401 N Broad St Fl 7, Philadelphia, PA 19140-5189 | 2018-06-04 |
| 1881114742 | Andrea Jasmine Leung | Obstetrics & Gynecology | 5501 Old York Rd # 1-1616, Philadelphia, PA 19141-3018 | 2017-06-22 |
| 1548798093 | Dimitrios Nasioudis | Obstetrics & Gynecology | 3400 Spruce Street, 1 West Gates, Hellen O. Dickens Center for Women's Health, Philadelphia, PA 19104-3123 | 2017-05-30 |
| 1811449697 | West Cayuga Medicine PC | Obstetrics & Gynecology | 257 W Cayuga St, Philadelphia, PA 19140-2439 | 2016-10-27 |
| 1447631536 | Clinton Veselis | Obstetrics & Gynecology | 3401 N Broad St Dept Of, Philadelphia, PA 19140 | 2015-06-15 |
| 1811378979 | Nishanth Sidduri | Obstetrics & Gynecology | 400 W Allegheny Ave Ste 5b, Philadelphia, PA 19133-3614 | 2015-06-15 |
| 1396158820 | Elizabeth Carey Banks | Obstetrics & Gynecology | 800 Walnut St Fl 12, Philadelphia, PA 19107-5176 | 2014-06-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19124 |
Please comment or provide details below to improve the information on DR. HENRY H. SU.
| 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.