YOUNG SOO SUH (NPI# 1700877230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700877230 |
| Entity Type | Individual |
| Full Name | YOUNG SOO SUH |
| Credential | MD |
| Practice Address |
1606 N 7th St Terre Haute IN 47804-2706 |
| Mailing Address |
Po Box 2505 Indianapolis IN 46206-2505 |
| Practice Telephone | 8122387000 |
| Mailing Telephone | 8122387783 |
| Mailing Fax Number | 8122384506 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2010-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01027594A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | 300123927 | 01 |
| IN | 100330210 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053523738 | Young Soon Suh | Psychiatry & Neurology | 1480 Prospect Pl, Brooklyn, NY 11213-2427 | 2007-05-04 |
| 1922635556 | Young Joo Suh | Student in an Organized Health Care Education/Training Program | 250 W 57th St Fl 15, New York, NY 10107-1307 | 2020-03-24 |
| 1710239223 | Young Sun Suh | Family Medicine | 2630 1st Ave, San Diego, CA 92103-6599 | 2012-10-08 |
| 1124193941 | Young Suh | Dentist | 3051 Beacon Ave So, Seattle, WA 98144 | 2006-11-21 |
| 1396708251 | Young Seok Suh | Anesthesiology | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2006-04-10 |
| Street Address |
1606 N 7TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47804-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142587 | Mary A. Flynn | Specialist | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2005-05-23 |
| 1851906622 | Patrick James Yoakum | Pharmacist | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2020-09-09 |
| 1215546791 | Edra Burris | Radiology Practitioner Assistant | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2020-07-30 |
| 1174132708 | Cep America - Neurology PC | Psychiatry & Neurology | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2020-07-29 |
| 1114543352 | Megan Gale Engelman | Nurse Anesthetist, Certified Registered | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2020-06-23 |
| 1518588706 | Chelsea Kizer | Nurse Practitioner | 1606 N 7th St, Terre Haute, IN 47804-2780 | 2020-04-29 |
| 1992334254 | Brock D Walker | Nurse Anesthetist, Certified Registered | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2020-04-07 |
| 1528691433 | Brooke Michelle Llewellyn | Nurse Practitioner | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2020-02-19 |
| 1922647205 | Jeanna Tabrizi | Nurse Practitioner | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2020-01-03 |
| 1174171920 | Nicole Hranchook | Physical Therapist | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2019-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971885 | Tiffany Marshall | Physical Therapist | North At Uap Bone & Joint Center, Lower Level 1725 North 5th Street, Terre Haute, IN 47804 | 2017-09-29 |
| 1336565423 | Deondra Allison Cottrill | Physical Therapy Assistant | 1725 N. 5th Street, Union Hospital Therapy Services, Terre Haute, IN 47804 | 2014-03-13 |
| 1043635170 | Patricia Klos | Physical Therapy Assistant | 1606 Nth 7th Street, Terre Haute, IN 47804 | 2014-02-26 |
| 1043565476 | Debra Denehie Hills | Registered Nurse | 620 8th Avenue, Terre Haute, IN 47804 | 2012-07-23 |
| 1841503257 | Meredeth Su Gray | Dentist | 1608 Lafayette Avenue, Terre Haute, IN 47804 | 2010-07-15 |
| 1083946628 | John Barton, Lpt | Health Maintenance Organization | 1818 N 3rd Street, Terre Haute, IN 47804 | 2010-02-08 |
| 1750584009 | Kool Smiles In-3, PC | Dentist | 1800 Fort Harrison Rd, Terra Haute, IN 47804 | 2007-06-06 |
| 1619006988 | Union Hospital Inc | Student in an Organized Health Care Education/Training Program | 1513 N 6 1-2 Street, Terre Haute, IN 47804 | 2007-03-05 |
| 1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
| 1093894057 | Isaac N Mitre | Obstetrics & Gynecology | 1623 N 4th Street, Terre Haute, IN 47804 | 2006-11-02 |
| Find all providers in zip 47804 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205025780 | Agam Enterprises, LLC | Radiology | 938 Springdale Ln, Terre Haute, IN 47802-4586 | 2007-10-19 |
| 1720007933 | Susan Audrey Koslow | Radiology | 477 E Trailwood Dr, Terre Haute, IN 47802-9606 | 2006-07-19 |
| 1023049806 | Premier Diagnostic Imaging LLC | Radiology | 135 E Mccallister Dr, Terre Haute, IN 47802-4247 | 2006-07-06 |
| 1023055639 | Ranganath Vedala | Radiology | 3102 Wabash Ave, Terre Haute, IN 47803-1518 | 2006-06-01 |
| 1922007566 | Roland A Grieb | Radiology | 2827 Harrison Woods Rd, Terre Haute, IN 47805-8602 | 2005-07-15 |
| 1801340880 | Medical Scanning Consultants, P.a. | Radiology | 4313 S 7th St, Terre Haute, IN 47802-4365 | 2016-08-08 |
| 1871892190 | Glenn C Erski | Radiology | 4313 S 7th St, Terre Haute, IN 47802-4365 | 2011-03-25 |
| 1386818508 | Agam Enterprises, LLC | Radiology | 938 Springdale Ln, Terre Haute, IN 47802-4586 | 2008-04-18 |
| 1083898993 | Agam Enterprises | Radiology | 2723 S 7th St, Terre Haute, IN 47802-3584 | 2007-12-27 |
| 1992993075 | Union Hospital Incorporated | Radiology | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2007-10-15 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47804 |
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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.