Ambrose K Su is a Bend, Oregon based male podiatrist with 41 years of experience in Podiatry. He completed his graduation in 1983. He is also affiliated with hospitals like St Charles Medical Center - Bend. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ambrose K Su for Podiatric Foot Surgery is DP00159 in Oregon. Ambrose K Su is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Ambrose K Su speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
41+ years
Medical School Attended:
Other
Graduation Year:
1983
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2408 Ne Division St, Bend, Oregon, 97701-3543
Phone:
541-388-2861
Fax:
541-382-6297
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3971576265
Enrollment ID:
I20110222001182
NPI Number:
1588649297
NPI Enumeration Date:
14 Dec, 2005
NPI Last Update On:
16 Jan, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ambrose K Su are as mentioned below.
License Number
Specialization
State
Status
DP00159
Podiatric Foot Surgery
Oregon
Primary
DPOO159
Podiatry
Oregon
Secondary
DP00159
Podiatry
Oregon
Secondary
DP00159
Podiatric Sports Medicine
Oregon
Secondary
DP00159
Podiatric Foot & Ankle Surgery
Oregon
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
St Charles Medical Center - Bend (380047)
Bend, OR
Acute Care Hospital
Other Medical Identifiers:
Other legacy medical identifiers associated with Ambrose K Su such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
024734001
Other
Oregon
BLUE CROSS
480031260
Other
Oregon
RR MEDICARE
13578
Other
Oregon
CLEAR CHOICE HEALTH PLANS
214619
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2408 Ne Division St, Bend, Oregon
Zip:
97701-3543
Phone Number:
541-388-2861
Fax Number:
541-382-6297
Patients can reach Ambrose K Su at 2408 Ne Division St, Bend, Oregon or can call to book an appointment on 541-388-2861. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.