Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Su, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639707326

Michael Su, MD is a Family Practice in Williamsport, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Susquehanna Physician Services, a 612-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10 Wisteria Ln
Williamsport, PA 17701-4188
Phone: (215) 620-8523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1639707326
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address175 Pine St Ste 200, Williamsport, PA 17701-6549

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Susquehanna Physician Services — 612 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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