Ambrose K Su is a Foot & Ankle Surgery in Bend, Oregon. Ambrose K Su practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Ambrose K Su is 1588649297. The last update date is 2013-01-16.
Ambrose K Su's current location address is 2408 Ne Division St, Bend, Oregon. You can contact this provider via phone number 5413882861 and fax number 5413826297. The mailing address for Ambrose K Su is 2408 Ne Division St, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ambrose K Su |
|---|---|
| Address | 2408 Ne Division St, Bend, Oregon |
| Phone Number | 5413882861 |
| Fax Number | 5413826297 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1588649297 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2013-01-16 |
Provider Mailing Address Detail
| Address | 2408 Ne Division St |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977013543 |
| Phone Number | 5413882861 |
| Fax Number | 5413826297 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | DP00159 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24734001 | OR | BLUE CROSS | |
| 480031260 | OR | RR MEDICARE | |
| 13578 | OR | CLEAR CHOICE HEALTH PLANS | |
| 214619 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ambrose K Su by the Centers for Medicare & Medicaid Services?
The Ambrose K Su has been assigned the NPI (National Provider Identifier) 1588649297 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Ambrose K Su is geographically located?
The Ambrose K Su is physically situated at the following location: 2408 Ne Division St, Bend, OR, 977013543.
What is Ambrose K Su's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ambrose K Su's specialized field of practice is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 213Es0103X.
On what date was the 1588649297 assigned to Ambrose K Su?
The Ambrose K Su was issued its 1588649297 on 2005-12-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Ambrose K Su, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ambrose K Su, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-01-16.
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