DR. WILLIAM T SU (NPI# 1730105743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730105743 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM T SU |
| Credential | MD |
| Practice Address |
11110 Medical Campus Rd Suite 127 Hagerstown MD 21742 |
| Practice Telephone | 3017144335 |
| Practice Fax Number | 3017144332 |
| Mailing Telephone | 3017144335 |
| Mailing Fax Number | 3017144332 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2017-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | D0058267 | MD | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D0058267 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 404320100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114487873 | William Su | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2019-03-20 |
| 1972647212 | William Su | Anesthesiology | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2007-02-19 |
| 1922152818 | William W Su | Obstetrics & Gynecology | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-01-22 |
| Street Address |
11110 MEDICAL CAMPUS RD SUITE 127 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344592 | Stephen Mark Sachs | Surgery | 11110 Medical Campus Rd, Suite 147, Hagerstown, MD 21742-6700 | 2005-05-23 |
| 1295279214 | Sheri Lynn Denham | Nurse Practitioner | 11110 Medical Campus Rd, Hagerstown, MD 21742-6700 | 2016-12-09 |
| 1952843435 | Hagerstown Management LLC | Surgery | 11110 Medical Campus Rd, Suite 125, Hagerstown, MD 21742-6700 | 2016-11-15 |
| 1013465897 | Juris G. Eyler | Physician Assistant | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2016-09-21 |
| 1437501236 | Centers for Advanced Orthopaedics, LLC | Physical Therapist | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742 | 2016-07-06 |
| 1487009155 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 11110 Medical Campus Rd, Suite 100, Hagerstown, MD 21742-6700 | 2016-04-29 |
| 1154791143 | Gastroenterology Solutions LLC | Internal Medicine | 11110 Medical Campus Rd, Suite 242, Hagerstown, MD 21742-6700 | 2015-10-02 |
| 1457721912 | Ryan Williams | Dentist | 11110 Medical Campus Rd, Suite 148, Hagerstown, MD 21742-6700 | 2015-09-28 |
| 1932599636 | Anthony Disalvo | Physical Therapist | 11110 Medical Campus Rd, Suite 201, Hagerstown, MD 21742-6700 | 2015-02-02 |
| 1730588153 | Thoracic & Surgical Specialists of Cumberland Valley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11110 Medical Campus Rd, Suite 127, Hagerstown, MD 21742-6700 | 2014-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770570012 | Itsuro John Uchino | Surgery | 1401 Dual Hwy, Hagerstown, MD 21740-6568 | 2005-10-03 |
| 1952843435 | Hagerstown Management LLC | Surgery | 11110 Medical Campus Rd, Suite 125, Hagerstown, MD 21742-6700 | 2016-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678731 | Nova Vascular Specialists, LLC | Surgery | 1952 Pulaski Hwy Ste B-2, Edgewood, MD 21040-1658 | 2020-01-24 |
| 1033683339 | Vein and Vascular Institute of Central Maryland | Surgery | 1300 York Rd Ste 200, Lutherville, MD 21093-6090 | 2019-01-20 |
| 1932651312 | Elham Oumer | Surgery | 8730 Cherry Ln Ste 10, Laurel, MD 20707-6212 | 2016-11-01 |
| 1255742961 | Marta Vismer | Surgery | 19942 Gateshead Cir, Germantown, MD 20876-6311 | 2014-05-15 |
| 1023448305 | Samer Saiedy Md Gb LLC | Surgery | 1811 Crain Hwy S, Glen Burnie, MD 21061-5561 | 2013-11-22 |
| 1285077289 | Lucy Kupersmith | Surgery | 2002 Medical Pkwy Ste 502, Annapolis, MD 21401 | 2013-04-10 |
| 1316227150 | Joshua Dearing | Surgery | 7503 Surratts Rd Ste 208, Clinton, MD 20735-3358 | 2011-08-25 |
| 1861782492 | Norman Anthony Odyniec | Surgery | 9208 Levelle Dr, Chevy Chase, MD 20815-5604 | 2011-04-16 |
| 1730480872 | James F Mcguckin Md of Md Pa | Surgery | 3450 Old Washington Rd Ste 202, Waldorf, MD 20602-3250 | 2010-11-05 |
| 1194952796 | James M Salander, Md Pa | Surgery | 11119 Rockville Pile, #204, Rockville, MD 20852 | 2009-06-22 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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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.