Sean C Su, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD057015L Issued in PA

Practice address

2910 State St
Erie, PA 16508-1832

Phone

(814) 454-5686

Fax

(814) 454-8946

NPI assigned

Jan 27, 2006

Last updated

Mar 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stairways Behavioral HealthGroup PAC ID 0143117697, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stairways Behavioral Health

  • Clinic/Center
  • Erie, PA
  • NPI 1003854241

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Deerfield Behavioral Health, Inc.

  • Professional Counselor
  • Erie, PA
  • NPI 1518210699
  NPD (past)
• Northwest Beacon Group LLC

  dba Center for Personal and Family Growth

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Erie, PA
  • NPI 1689695868
  NPD (past)
• Presque Isle Psychiatric Associates

  • Psychiatry Physician
  • Erie, PA
  • NPI 1326242439
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1346211414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081830",
            "telephone_number": "814-456-2457",
            "fax_number": "814-456-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081832",
            "telephone_number": "814-454-5686",
            "fax_number": "814-454-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "SEAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD057015L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Stumpf, MD
• Mackenzie Sturdivant
• Matthew Alan Sturdivant, DO
• Andrew R Sturm, PA-C
• Karen J Styborski, PA C
• Kevin Subers, MSW
• Subramanyam Segu, MD, Inc
• Melissa Marie Sulkowski, M.A.
• Charles Edward Sullivan, PHARMD
• Kathy M Sullivan, PA-C

• Psychiatry Physician in Erie, PA
• Providers in Erie, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.