IndividualActive
Michelle Su, PA-C
NPI 1477859577 · Physician Assistant · Philadelphia, PA
Provider details
- NPI number
- 1477859577
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- MA059532 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
834 Chestnut St Apt 827
Philadelphia, PA 19107-5140
Phone: (714) 943-0080
Street-level locationGet directions
Mailing address
834 Chestnut St Apt 827
Philadelphia, PA 19107-5140
Additional practice locations (1)
- 11611 San Vicente BlvdLos Angeles, CA 90049-5106Phone: (310) 820-0013
Registry dates
- Enumerated
- 2011-02-07
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.