Susan Suna Jung Yin, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4716 Issued in AZ

Practice address

3336 E Chandler Heights Rd
Building 6 Suite 132
Gilbert, AZ 85298-4259

Phone

(480) 460-4949

Fax

(480) 460-5858

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDGBAA

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

• Desert Shores Pediatrics

  • Pediatrics Physician
  • Gilbert, AZ
  • NPI 1124386487
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1780711465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6985 S MAGIC CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984183",
            "telephone_number": "419-343-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS RD",
            "address_2": "BUILDING 6 SUITE 132",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984259",
            "telephone_number": "480-460-4949",
            "fax_number": "480-460-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIN",
        "first_name": "SUSAN",
        "middle_name": "SUNA JUNG",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "4716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Yee, MD
• Sophia Yemetz
• Edna Maria Yepez, COTA/L
• Marisa Yerkes, LMSW
• Zachary Phillip Yeung, MD
• Samantha Jo Yineman, DMD
• Yoches Consulting, LLC
• Jamie NMN Yokley, PA-C
• Martin Fitzmaurice Yontz, SLPA
• Sam Won Yoo, COTA/L

• Pediatrics Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.