ANDREW T SU (NPI# 1861496549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861496549 |
| Entity Type | Individual |
| Full Name | ANDREW T SU |
| Credential | M.D. |
| Practice Address |
4100 W 3rd St Dayton OH 45428-9000 |
| Mailing Address |
4100 West Third Street Dayton OH 45428 |
| Practice Telephone | 9372686511 |
| Practice Fax Number | 9372675316 |
| Mailing Telephone | 9372686511 |
| Mailing Fax Number | 9372675316 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2017-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35062288 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0923915 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922515261 | Andrew Su | Pharmacist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2018-01-09 |
| 1962745406 | Andrew Ming-wei Su | Internal Medicine | 2929 Health Center Dr, San Diego, CA 92123-2762 | 2013-04-03 |
| 1962402925 | Andrew Y Su | Internal Medicine | 121 Saint Lukes Center Dr, Suite 406, Chesterfield, MO 63017-3518 | 2005-07-29 |
| Street Address |
4100 W 3RD ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45428-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162038 | Olivia Marie Falter | Audiologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-25 |
| 1295334084 | Sarah M Miller | Music Therapist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-22 |
| 1366049918 | Chadwick Ryan Watiker | Social Worker | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-07 |
| 1174137301 | Danielle Marie Pike | Psychologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-09-04 |
| 1497368856 | Dinah Callender | Registered Nurse | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-08-26 |
| 1801405352 | Alice Wei Ho | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-07-29 |
| 1801413356 | Sarah Teresa Hierath | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-07-01 |
| 1942823349 | Sloane Rudolf | Optometrist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-05-20 |
| 1720600331 | James Douglas Boodt | Student in an Organized Health Care Education/Training Program | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-05-18 |
| 1942822598 | Samantha Meredith | Optometrist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1366876138 | Amber J Enterline | Pharmacist | 4100 W 3rd Street, Attn Pharmacy, Dayotn, OH 45428 | 2013-08-28 |
| 1114155793 | Jeffrey Michael Munn | Dentist | 4100 West 3rd St., Dayton V.a. Medical Center, Dayton, OH 45428 | 2009-06-23 |
| 1558516724 | Tawnyell Nikko Culpepper | Social Worker | 4100 Va Medical Center, Social Work Department Suite 122, Trotwood, OH 45428 | 2008-12-01 |
| 1255586376 | Prasad V Venkat | Physical Therapist | 4100 W.third Street, Dayton, OH 45428 | 2008-11-18 |
| 1457435687 | Reba E Crowell | Nurse Practitioner | 4100 West 3rd Street, Dayton, OH 45428 | 2006-10-24 |
| 1386728632 | Alicia Joann Weekes-johnson | Counselor | 4100 W Third St. Mhlc Bldg 302, Veterans Administration Medical Center, Dayton, OH 45428 | 2006-10-24 |
| 1497843049 | Margaret Irene Kruckemeyer | Nurse Practitioner | 4100 West Third Street (117), Va Medical Center, Dayton, OH 45428 | 2006-10-10 |
| 1003902545 | Mohamed Elmouelhi | Internal Medicine | 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 | 2006-10-04 |
| Find all providers in zip 45428 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1831662105 | Michele L. Flack, D.o., LLC | Internal Medicine | 3718 Whisper Creek Dr, Dayton, OH 45414-2570 | 2019-01-09 |
| 1851755623 | Yousef B. A. Mohamed | Internal Medicine | South Dayton Acute Care Consultants, Inc, 33 W Rahn Rd, Dayton, OH 45429-2219 | 2016-04-07 |
| 1427420256 | Hospitalist Md Inc | Internal Medicine | 10708 Falls Creek Ln, Dayton, OH 45458-6062 | 2015-10-20 |
| 1811316565 | Eric Kirby | Internal Medicine | 30 E Apple St # 3300, Dayton, OH 45409-2939 | 2014-04-09 |
| 1619394665 | Mohammad M Losta | Internal Medicine | 2200 Philadelphia Dr Ste 441, Dayton, OH 45406-1840 | 2014-03-27 |
| 1316378003 | Barrett Henry Bolton | Internal Medicine | 1608 Catalpa Dr, Dayton, OH 45406-5946 | 2013-12-05 |
| 1609215276 | Derrick Scott Porter | Internal Medicine | 2300 Miami Valley Dr Ste 310, Dayton, OH 45459-1294 | 2013-06-17 |
| 1295026607 | David Dukhyun Moh | Internal Medicine | 9251 Great Lakes Cir, Dayton, OH 45458-3677 | 2011-04-20 |
| 1831495266 | Kenechi Anikwe Obetta | Internal Medicine | 4750 30 E Apple St, Suite 6250, Dayton, OH 45409-2939 | 2011-02-02 |
| 1477870178 | Charles William Oberer IIi | Internal Medicine | 425 W Grand Ave Ste 2002, Dayton, OH 45405-4722 | 2010-04-21 |
| Find all providers in DAYTON | ||||
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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.