Active NPI 1942425590 Individual Practitioner Female Practitioner

Dr. Susan Sung , MD

Radiology - Diagnostic Radiology • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Susan Sung, MD is a certified Radiology - Diagnostic Radiology practicing in Appleton, WI. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Sung delivers high-quality medical care to the local community at 424 E WISCONSIN AVE.

Dr. Sung maintains professional affiliations with Radiology Associates Of Appleton Sc, Thedacare, Incorporated, Premier Radiology Wisconsin Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include screening mammography, screening digital tomography of both breasts, x-ray of chest, 1 view. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

424 E Wisconsin Ave

Appleton, WI 549114860

Telephone 9207395642

Fax 9209680259

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Appleton, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -3.1 yrs vs City Avg

City Avg: 27.1 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

16 Specialists

Practicing in Appleton, WI (1041 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sung (24 Years) 24 Yrs

Appleton Specialty Average (27.1 Years) 27.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	310	310	$276.00	$33.45
77063 Screening digital tomography of both breasts	291	291	$186.00	$26.29
71045 X-ray of chest, 1 view	88	85	$153.00	$7.87
71046 X-ray of chest, 2 views	69	67	$178.00	$9.80
74177 Ct scan of abdomen and pelvis with contrast	60	60	$1471.00	$80.36
71250 Ct scan of chest without contrast	43	41	$696.00	$46.73
74176 Ct scan of abdomen and pelvis without contrast	38	37	$1406.00	$76.73
71260 Ct scan of chest with contrast	34	34	$776.00	$50.21
74018 X-ray of abdomen, 1 view	34	34	$153.00	$8.19
76642 Limited ultrasound scan of 1 breast	30	30	$427.00	$30.23
72100 X-ray of lower and sacral spine, 2-3 views	28	28	$174.00	$10.12
70450 Ct scan head or brain without contrast	25	25	$554.00	$35.38
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	25	25	$223.00	$26.54
73630 X-ray of foot, minimum of 3 views	24	21	$121.00	$7.87
73030 X-ray of shoulder, minimum of 2 views	20	18	$146.00	$8.95
76536 Ultrasound of head and neck	17	17	$382.00	$24.14
76770 Complete ultrasound scan behind abdominal cavity	16	16	$516.00	$32.73
77065 Diagnostic mammography of 1 breast	16	16	$298.00	$35.94
76705 Limited ultrasound scan of abdomen	16	16	$420.00	$25.68
77066 Diagnostic mammography of both breasts	15	15	$375.00	$44.27
73502 X-ray of hip, 2-3 views	14	14	$212.00	$10.13
73560 X-ray of knee, 1-2 views	14	14	$141.00	$8.08
73564 X-ray of knee, 4 or more views	13	11	$174.00	$10.46
77063 Screening digital tomography of both breasts	13	13	$186.00	$26.19
77067 Screening mammography	13	13	$276.00	$33.31
71275 Ct scan of blood vessels of chest with contrast	12	12	$1448.00	$79.66
71271 Low dose ct scan of chest for lung cancer screening	11	11	$934.00	$47.68
71046 X-ray of chest, 2 views	11	11	$178.00	$9.81
77049 Mri of both breasts with and without contrast	11	11	$966.00	$101.73
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$1552.00	$88.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	295	295	$263.00	$34.49
77063 Screening digital tomography of both breasts	268	268	$177.00	$27.28
71045 X-ray of chest, 1 view	76	72	$139.00	$8.34
71046 X-ray of chest, 2 views	74	73	$162.00	$10.00
77067 Screening mammography	40	40	$263.00	$34.49
77063 Screening digital tomography of both breasts	37	37	$177.00	$27.28
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	35	35	$212.00	$27.43
70450 Ct scan head or brain without contrast	35	35	$504.00	$37.40
76642 Limited ultrasound scan of 1 breast	35	32	$385.41	$33.52
74177 Ct scan of abdomen and pelvis with contrast	29	29	$1337.00	$82.91
74018 X-ray of abdomen, 1 view	29	28	$139.00	$8.34
74177 Ct scan of abdomen and pelvis with contrast	26	26	$1337.00	$82.76
77066 Diagnostic mammography of both breasts	23	23	$357.00	$45.28
71046 X-ray of chest, 2 views	22	22	$162.00	$9.99
72125 Ct scan of upper spine without contrast	20	20	$625.00	$44.94
71260 Ct scan of chest with contrast	20	19	$705.00	$51.87
71250 Ct scan of chest without contrast	20	20	$633.00	$48.38
77065 Diagnostic mammography of 1 breast	19	19	$284.00	$36.61
76705 Limited ultrasound scan of abdomen	18	18	$382.00	$26.65
77080 Dxa bone density measurement of hip, pelvis, spine	18	18	$185.00	$8.96
74018 X-ray of abdomen, 1 view	17	16	$139.00	$8.32
73630 X-ray of foot, minimum of 3 views	17	15	$110.00	$7.69
73502 X-ray of hip, 2-3 views	16	16	$212.00	$10.33
73030 X-ray of shoulder, minimum of 2 views	16	15	$133.00	$8.69
76536 Ultrasound of head and neck	15	15	$347.00	$25.80
74178 Ct scan of abdomen and pelvis before and after contrast	14	14	$1411.00	$90.99
73630 X-ray of foot, minimum of 3 views	13	13	$110.00	$7.69
76770 Complete ultrasound scan behind abdominal cavity	13	13	$469.00	$33.37
72040 X-ray of upper spine, 2-3 views	12	12	$158.00	$10.30
71260 Ct scan of chest with contrast	11	11	$705.00	$50.77
71275 Ct scan of blood vessels of chest with contrast	11	11	$1316.00	$81.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	337	337	$250.00	$35.09
77063 Screening digital tomography of both breasts	297	297	$169.00	$28.00
71045 X-ray of chest, 1 view	117	110	$126.00	$8.54
71046 X-ray of chest, 2 views	79	79	$147.00	$10.23
74177 Ct scan of abdomen and pelvis with contrast	55	55	$1215.00	$84.62
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	44	44	$202.00	$28.09
77067 Screening mammography	42	42	$250.00	$35.03
76642 Limited ultrasound scan of 1 breast	39	37	$353.00	$31.55
76770 Complete ultrasound scan behind abdominal cavity	37	36	$426.00	$34.07
70450 Ct scan head or brain without contrast	36	36	$458.00	$38.18
77063 Screening digital tomography of both breasts	35	35	$169.00	$27.92
74018 X-ray of abdomen, 1 view	26	26	$126.00	$8.52
71046 X-ray of chest, 2 views	25	22	$147.00	$10.24
77065 Diagnostic mammography of 1 breast	24	24	$270.00	$37.57
74177 Ct scan of abdomen and pelvis with contrast	24	22	$1215.00	$84.71
77066 Diagnostic mammography of both breasts	21	21	$340.00	$46.37
74018 X-ray of abdomen, 1 view	20	20	$126.00	$8.53
71260 Ct scan of chest with contrast	19	17	$641.00	$51.73
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	19	19	$416.00	$19.64
74176 Ct scan of abdomen and pelvis without contrast	18	17	$1162.00	$80.47
76705 Limited ultrasound scan of abdomen	18	18	$347.00	$27.39
71250 Ct scan of chest without contrast	18	18	$575.00	$49.67
71260 Ct scan of chest with contrast	18	18	$641.00	$51.59
71275 Ct scan of blood vessels of chest with contrast	18	18	$1196.00	$81.25
71250 Ct scan of chest without contrast	17	17	$575.00	$49.71
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	16	16	$416.00	$20.29
72125 Ct scan of upper spine without contrast	16	16	$568.00	$45.80
73502 X-ray of hip, 2-3 views	15	15	$215.00	$10.58
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$144.00	$10.52
76536 Ultrasound of head and neck	14	14	$315.00	$26.39
93880 Ultrasound of both sides of head and neck blood flow	14	14	$759.00	$36.49
73560 X-ray of knee, 1-2 views	12	12	$116.00	$10.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	287	287	$245.00	$36.14
77063 Screening digital tomography of both breasts	245	245	$166.00	$28.58
71045 X-ray of chest, 1 view	148	140	$119.00	$8.68
71046 X-ray of chest, 2 views	79	78	$138.00	$10.41
77067 Screening mammography	62	62	$245.00	$36.14
77063 Screening digital tomography of both breasts	48	48	$166.00	$28.58
70450 Ct scan head or brain without contrast	46	46	$431.00	$39.43
74177 Ct scan of abdomen and pelvis with contrast	46	44	$1144.00	$86.04
76642 Limited ultrasound scan of 1 breast	35	32	$332.00	$32.36
71046 X-ray of chest, 2 views	34	34	$138.00	$10.41
71275 Ct scan of blood vessels of chest with contrast	33	33	$1126.00	$84.76
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	26	26	$198.00	$28.58
74177 Ct scan of abdomen and pelvis with contrast	26	26	$1144.00	$86.13
72100 X-ray of lower and sacral spine, 2-3 views	22	22	$136.00	$10.74
71250 Ct scan of chest without contrast	21	19	$541.00	$51.02
74018 X-ray of abdomen, 1 view	21	21	$119.00	$8.68
77066 Diagnostic mammography of both breasts	21	21	$333.00	$47.24
71260 Ct scan of chest with contrast	20	19	$604.00	$53.20
73630 X-ray of foot, minimum of 3 views	20	19	$94.00	$8.01
76770 Complete ultrasound scan behind abdominal cavity	17	17	$401.00	$33.62
72125 Ct scan of upper spine without contrast	17	17	$535.00	$46.68
71260 Ct scan of chest with contrast	16	16	$604.00	$53.41
73030 X-ray of shoulder, minimum of 2 views	16	16	$114.00	$9.01
71250 Ct scan of chest without contrast	16	16	$541.00	$50.70
73502 X-ray of hip, 2-3 views	15	15	$231.00	$10.74
74018 X-ray of abdomen, 1 view	15	15	$119.00	$8.68
74176 Ct scan of abdomen and pelvis without contrast	15	15	$1094.00	$82.35
73564 X-ray of knee, 4 or more views	11	11	$136.00	$12.69
73030 X-ray of shoulder, minimum of 2 views	11	11	$114.00	$9.01
73130 X-ray of hand, minimum of 3 views	11	11	$99.00	$9.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	268	268	$242.25	$37.45
77063 Screening digital tomography of both breasts	232	232	$162.58	$29.44
71045 X-ray of chest, 1 view	146	139	$104.36	$8.97
71046 X-ray of chest, 2 views	79	79	$124.20	$10.77
77067 Screening mammography	57	57	$243.86	$37.36
71046 X-ray of chest, 2 views	55	55	$123.24	$10.75
77063 Screening digital tomography of both breasts	37	37	$165.59	$29.35
74177 Ct scan of abdomen and pelvis with contrast	34	33	$1251.88	$89.49
70450 Ct scan head or brain without contrast	32	31	$472.50	$40.54
74177 Ct scan of abdomen and pelvis with contrast	31	31	$1169.94	$89.69
71260 Ct scan of chest with contrast	25	24	$652.00	$58.91
76642 Limited ultrasound scan of 1 breast	25	24	$292.24	$34.68
71275 Ct scan of blood vessels of chest with contrast	24	24	$979.00	$88.38
74018 X-ray of abdomen, 1 view	22	22	$105.00	$8.97
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	19	19	$183.00	$29.39
71250 Ct scan of chest without contrast	18	17	$594.39	$56.12
74176 Ct scan of abdomen and pelvis without contrast	17	16	$1088.88	$85.27
77065 Diagnostic mammography of 1 breast	17	17	$260.82	$39.93
74018 X-ray of abdomen, 1 view	17	17	$105.71	$9.00
71260 Ct scan of chest with contrast	17	17	$700.24	$58.92
71250 Ct scan of chest without contrast	15	15	$617.27	$56.42
74176 Ct scan of abdomen and pelvis without contrast	14	13	$1103.36	$85.37
73502 X-ray of hip, 2-3 views	14	14	$202.86	$11.13
76770 Complete ultrasound scan behind abdominal cavity	14	14	$402.50	$36.03
93880 Ultrasound of both sides of head and neck blood flow	13	13	$629.15	$38.72
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$129.75	$11.13
73502 X-ray of hip, 2-3 views	12	12	$190.00	$11.13
72170 X-ray of pelvis, 1-2 views	12	11	$113.00	$8.63
76770 Complete ultrasound scan behind abdominal cavity	11	11	$405.00	$36.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	235	234	$233.60	$37.04
77063 Screening digital tomography of both breasts	193	192	$153.33	$28.97
71045 X-ray of chest, 1 view	120	111	$96.00	$8.90
77067 Screening mammography	80	80	$233.54	$36.80
71046 X-ray of chest, 2 views	79	78	$116.00	$10.66
70450 Ct scan head or brain without contrast	59	59	$479.00	$40.45
74177 Ct scan of abdomen and pelvis with contrast	46	45	$1238.00	$88.83
71046 X-ray of chest, 2 views	43	43	$116.00	$10.67
77063 Screening digital tomography of both breasts	40	40	$152.07	$29.00
71260 Ct scan of chest with contrast	25	24	$682.00	$58.35
74177 Ct scan of abdomen and pelvis with contrast	24	22	$1238.00	$88.85
71275 Ct scan of blood vessels of chest with contrast	24	23	$882.00	$88.54
74176 Ct scan of abdomen and pelvis without contrast	22	22	$1155.00	$84.46
74018 X-ray of abdomen, 1 view	22	21	$96.00	$8.90
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	21	21	$166.00	$29.12
71260 Ct scan of chest with contrast	20	17	$682.00	$58.64
72125 Ct scan of upper spine without contrast	19	19	$639.00	$51.28
76642 Limited ultrasound scan of 1 breast	19	19	$257.89	$34.00
71250 Ct scan of chest without contrast	19	19	$618.00	$55.75
73502 X-ray of hip, 2-3 views	15	15	$138.00	$10.98
77066 Diagnostic mammography of both breasts	14	14	$323.00	$48.81
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	14	$235.00	$21.64
93880 Ultrasound of both sides of head and neck blood flow	13	13	$460.00	$38.40
77065 Diagnostic mammography of 1 breast	12	12	$249.00	$39.57
73030 X-ray of shoulder, minimum of 2 views	12	12	$108.00	$9.23
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$122.00	$11.03
76705 Limited ultrasound scan of abdomen	11	11	$313.00	$28.42
74176 Ct scan of abdomen and pelvis without contrast	11	11	$1155.00	$84.65
74018 X-ray of abdomen, 1 view	11	11	$96.00	$8.92
71250 Ct scan of chest without contrast	11	11	$618.00	$56.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	255	255	$220.68	$36.76
77063 Screening digital tomography of both breasts	202	202	$145.92	$28.96
71045 X-ray of chest, 1 view	117	107	$91.00	$8.88
71046 X-ray of chest, 2 views	109	107	$110.00	$10.64
71046 X-ray of chest, 2 views	62	62	$110.00	$10.63
74177 Ct scan of abdomen and pelvis with contrast	56	55	$1179.00	$88.84
77067 Screening mammography	56	56	$223.98	$36.76
70450 Ct scan head or brain without contrast	54	52	$456.00	$40.28
71260 Ct scan of chest with contrast	42	42	$649.00	$58.95
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	34	33	$157.03	$28.96
76642 Limited ultrasound scan of 1 breast	32	30	$233.00	$33.70
74176 Ct scan of abdomen and pelvis without contrast	28	28	$1100.00	$84.61
77066 Diagnostic mammography of both breasts	24	23	$308.83	$51.65
71250 Ct scan of chest without contrast	22	22	$588.00	$54.65
71260 Ct scan of chest with contrast	20	20	$649.00	$59.03
71250 Ct scan of chest without contrast	19	19	$588.00	$56.08
74018 X-ray of abdomen, 1 view	19	17	$91.00	$8.88
74177 Ct scan of abdomen and pelvis with contrast	18	18	$1179.00	$88.78
74019 X-ray of abdomen, 2 views	17	17	$122.00	$11.34
73502 X-ray of hip, 2-3 views	16	16	$131.00	$10.99
76377 3D radiographic procedure with computerized image postprocessing	16	16	$448.00	$38.47
77065 Diagnostic mammography of 1 breast	15	15	$237.00	$39.57
73564 X-ray of knee, 4 or more views	15	11	$114.00	$10.48
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$116.00	$10.99
71275 Ct scan of blood vessels of chest with contrast	13	13	$840.00	$88.29
76705 Limited ultrasound scan of abdomen	12	12	$298.00	$28.48
72125 Ct scan of upper spine without contrast	12	12	$608.00	$51.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	231	231	$211.28	$35.78
71010 X-ray of chest, 1 view, front	145	128	$91.00	$8.89
77063 Screening digital tomography of both breasts	134	134	$88.90	$29.01
71020 X-ray of chest, 2 views, front and side	102	102	$110.00	$10.65
71020 X-ray of chest, 2 views, front and side	55	54	$110.00	$10.54
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	39	39	$212.24	$35.78
74177 Ct scan of abdomen and pelvis with contrast	39	36	$1122.00	$88.89
70450 Ct scan head or brain without contrast	36	36	$434.00	$41.41
71260 Ct scan of chest with contrast	32	30	$618.00	$59.85
G0206 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral	30	28	$225.00	$37.88
71250 Ct scan of chest without contrast	25	25	$560.00	$49.87
74020 Imaging of abdomen	24	23	$133.00	$12.50
74176 Ct scan of abdomen and pelvis without contrast	23	23	$1047.00	$85.07
73564 X-ray of knee, 4 or more views	20	16	$108.00	$11.02
76642 Limited ultrasound scan of 1 breast	20	18	$221.00	$32.20
74000 X-ray of abdomen, single view	20	20	$88.00	$8.89
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	20	20	$84.50	$29.46
71260 Ct scan of chest with contrast	19	19	$618.00	$58.38
93880 Ultrasound of both sides of head and neck blood flow	17	17	$417.00	$38.62
74177 Ct scan of abdomen and pelvis with contrast	16	16	$1122.00	$88.94
G0204 Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral	16	16	$292.00	$47.23
71250 Ct scan of chest without contrast	15	15	$560.00	$49.26
73502 X-ray of hip, 2-3 views	15	14	$124.00	$10.98
76377 3D radiographic procedure with computerized image postprocessing	15	15	$426.00	$38.92
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	12	$212.00	$21.44
76705 Limited ultrasound scan of abdomen	12	12	$283.00	$28.14
73502 X-ray of hip, 2-3 views	11	11	$124.00	$11.00

Medical Specialties & State Licenses

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License WI 50304

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Hospital & Practice Group Affiliations

Thedacare, Incorporated

2500 E Capital Dr, Appleton, WI 549118735

Radiology Associates Of Appleton Sc

527 E Wisconsin Ave, Neenah, WI 549562966

Phone: 9203581520

Radiology Associates Of Appleton Sc

100 County Rd B, Shawano, WI 541667072

Phone: 9203581520

Thedacare, Incorporated

4480 W Spencer St, Appleton, WI 54915

Phone: 9207384800

Radiology Associates Of Appleton Sc

1818 N Meade St, Appleton, WI 549113454

Phone: 9203581520

Radiology Associates Of Appleton Sc

5471 W Waterford Ln, Appleton, WI 549138510

Phone: 9203581520

Premier Radiology Wisconsin Llc

10180 Washington Ave, Mount Pleasant, WI 531771604

Phone: 4149737830

Radiology Chartered

1789 Shawano Ave, Green Bay, WI 543033243

Phone: 9204991428

Radiology Chartered

None, Marquette, MI 49855

Phone: 9204992766

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Stephanus Macrander , MD

Radiology - Diagnostic Radiology

NPI 1033153853

Doctor of Medicine (M.D.)

Dr. Maher Salahi , MD

Radiology - Vascular & Interventional Radiology

NPI 1124317474

Doctor of Medicine (M.D.)

Dr. Stephen Bejvan , MD

Radiology - Diagnostic Radiology

NPI 1356379762

Doctor of Medicine (M.D.)

Dr. Keyvan Gharabeighlou , DO

Radiology - Diagnostic Radiology

NPI 1376588202

Doctor of Osteopathic Medicine (D.O.)

Dr. John Sowin , MD

Radiology - Diagnostic Radiology

NPI 1396772455

Doctor of Medicine (M.D.)

Dr. Fred Panzer , MD

Radiology - Diagnostic Radiology

NPI 1447296744

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 05, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 05, 2007

Registered at 424 E WISCONSIN AVE, APPLETON, WI 549114860 (Tel: 9207395642)

📍

Updated Business Mailing Address September 05, 2007

Registered at 424 E WISCONSIN AVE, APPLETON, WI 549114860 (Tel: 9207395642)

👤

Provider Name / Credentials Updated September 05, 2007

Recorded as SUSAN SUNG, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2007

Radiology (License #50304 in WI)

🟢

Initial NPI Registration & Enumeration April 16, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942425590

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 16, 2007

Last Update: September 05, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

424 E Wisconsin Ave

Appleton, WI 549114860

Phone: 9207395642

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

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