EUGENE Y. SU, M.D., P.C. (NPI# 1740240563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740240563 |
Entity Type | Organization |
Organization Name | EUGENE Y. SU, M.D., P.C. |
Practice Address |
5333 Mcauley Dr R4108 Ypsilanti MI 48197-1014 |
Practice Telephone | 7345729090 |
Practice Fax Number | 7345709100 |
Mailing Telephone | 7345729090 |
Mailing Fax Number | 7345709100 |
Enumeration Date | 2006-03-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. EUGENE Y SU (PRESIDENT) |
Authorized Official Telephone | 7345729090 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
ES043697 | RI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1561438 | 05 |
Street Address |
5333 MCAULEY DR R4108 |
City | YPSILANTI |
State | MI |
Zip Code | 48197-1014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740285378 | Thomas A Weimert | Otolaryngology | 5333 Mcauley Dr, Rm 2017, Ypsilanti, MI 48197-1096 | 2005-06-20 |
1780172809 | Meena Sahu | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Ypsilanti, MI 48197-1014 | 2018-04-24 |
1568996940 | Cydney Siggins | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2110, Ypsilanti, MI 48197-1014 | 2017-04-12 |
1205369725 | Kenneth John Buchanan | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-11 |
1518491059 | Mahwish Hafeez | Internal Medicine | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-11 |
1124551791 | Emily Welker | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2115, Ypsilanti, MI 48197-1014 | 2017-04-10 |
1366975195 | Patrick D Suggs | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2115, Ypsilanti, MI 48197-1014 | 2017-04-08 |
1528591427 | Elizabeth Anne Henderson | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-06 |
1043742448 | Emily Eton | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-03 |
1740711126 | Kelsey Behan | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2110, Ypsilanti, MI 48197-1014 | 2017-03-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
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Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477716991 | Jasmine Stannard | Internal Medicine | 4990 W Clark Rd, Suite 300, Ypsilanti, MI 48197-1149 | 2008-07-03 |
1811099583 | Martin Garber Do and Kathleen Menerey Md PC | Internal Medicine | 3145 W Clark Rd, Suite 202, Ypsilanti, MI 48197-1120 | 2006-09-02 |
1730122326 | Eugene Y Su | Internal Medicine | 5333 Mcauley Dr, Suite 4108, Ypsilanti, MI 48197-1001 | 2006-06-13 |
1366407413 | Dale E Baker | Internal Medicine | 3145 W Clark Rd, Ste 401, Ypsilanti, MI 48197-1120 | 2006-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538655469 | American Arthritis & Rheumatology Associates Mi Pllc | Internal Medicine | 1669 Hamilton Rd Ste 200, Okemos, MI 48864-1961 | 2018-07-03 |
1033413661 | Rheumatology PC | Internal Medicine | 360 E Chicago St Ste 111, Coldwater, MI 49036-2086 | 2010-12-22 |
1295036507 | Arden Gene Alexander | Internal Medicine | 79 Watershore Dr, Muskegon, MI 49444-7746 | 2010-11-03 |
1467763201 | Nina Ramessar | Internal Medicine | 3950 Hollywood Rd Ste 288, Saint Joseph, MI 49085-9159 | 2010-06-26 |
1407084064 | Davi Ponte De Sa Leitao | Internal Medicine | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2009-06-22 |
1275790156 | V Geravipoolvorn Md PC | Internal Medicine | 28345 Utica Rd, Roseville, MI 48066-2566 | 2008-05-19 |
1285800268 | Dianne Kay Trudell, Md | Internal Medicine | 5085 W Bristol Rd, Flint, MI 48507-2922 | 2008-04-30 |
1295901288 | Jolanta Sobotka-czarnecki Md Pllc | Internal Medicine | G-5085 West Bristol Rd., Flint, MI 48507-2922 | 2008-04-30 |
1144411299 | David K. Vallance, M.d., P.C. | Internal Medicine | 3055 Plymouth Rd Ste 102, Ann Arbor, MI 48105-3208 | 2007-08-05 |
1518178813 | Lakshmi Kocharla | Internal Medicine | 5800 Foremost Dr Se Ste 202, Grand Rapids, MI 49546-7062 | 2007-05-25 |
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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.