Jason T Su, DO
Jason T Su, DO is a Pediatric Medicine in Provo, Utah. Qualified in 1997, 29 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine and Utah.
- Years since qualifying
- 29
- Licensed in
- ME, UT
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
1055 N 300 W Ste 311Provo, UT 84604-3373
Phone: (385) 477-6800
Fax: (385) 477-6801
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 71 Us Route 1 Ste C, Scarborough, ME 04074-7174 — (207) 883-5532
Specialties & licences
| Pediatric Cardiology Physician (primary) | Taxonomy 2080P0202X · Licence 5665627-1204 (UT) |
|---|---|
| Pediatric Cardiology Physician | Taxonomy 2080P0202X · Licence DO3974 (ME) |
Record details
| NPI number | 1427137991 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | November 3, 2006 |
| Last updated in NPPES | August 7, 2026 |
| Certification date | August 7, 2026 |
| Mailing address | 680 E Main St Ste 200, Lehi, UT 84043-2251 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Mainehealth — 2615 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Provo
-
Ihc Health Services Inc
395 W Cougar Blvd Ste 702, Provo, UT 84604-3333 · (801) 357-1700