Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245617406 Individual Practitioner Male Practitioner

Michael Su

Pediatrics • Marysville, WA

Professional Overview & Biography Verified Profile Summary

Michael Su is a registered healthcare professional specializing in Pediatrics in Marysville, WA. Practice services are available at 2901 174TH ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2901 174th St Ne

Marysville, WA 982714743

Telephone 3604541900
Fax 3604541991
Associated Practice Facility / Clinic
🏢 Optum Care Washington Pllc Facility NPI 1891058236

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Marysville, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
21 Specialists

Practicing in Marysville, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD61301644

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License KS 04-42074

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ryan Haskell

Physical Therapist

NPI 1003069725
Oscar Escalante , MC

Counselor - Mental Health

NPI 1043604887
Karen Maynard , PT

Physical Therapist

NPI 1053557462

Physical Therapist

NPI 1063808236

Doctor of Osteopathic Medicine (D.O.)

NPI 1104080183

Doctor of Medicine (M.D.)

Dr. Ashley Lee , DO

Family Medicine - Sports Medicine

NPI 1104354323

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address May 14, 2026

Registered at 7600 EVERGREEN WAY, EVERETT, WA 982036421 (Tel: 2068605414)

📍
Updated Practice Location September 16, 2022

Registered at 2901 174TH ST NE, MARYSVILLE, WA 982714743 (Tel: 3604541900)

📍
Updated Business Mailing Address September 16, 2022

Registered at PO BOX 5127, EVERETT, WA 982065127 (Tel: 4253048431)

📍
Updated Practice Location March 11, 2020

Registered at 8725 E 32ND ST N, WICHITA, KS 672264008 (Tel: 3162011202)

📍
Updated Business Mailing Address March 11, 2020

Registered at 8725 E 32ND ST N, WICHITA, KS 672264008 (Tel: 3162011202)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2020

Pediatrics (License #04-42074 in KS)

NPI Profile Active April 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2015

Registered at 111 MICHIGAN AVE NW, W3.5, 600, WASHINGTON, DC 200102916 (Tel: 2024763670)

📍
Updated Business Mailing Address April 27, 2015

Registered at 111 MICHIGAN AVE NW, W3.5, 600, WASHINGTON, DC 200102916 (Tel: 2024763670)

👤
Provider Name / Credentials Updated April 27, 2015

Recorded as MICHAEL SU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 27, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245617406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2015
Last Update: May 14, 2026
Sole Proprietor: No

Mailing Address

7600 Evergreen Way

Everett, WA 982036421

Phone: 2068605414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.