Provider Demographics
NPI:1528022159
Name:SURH, YVONNE S (MD)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:S
Last Name:SURH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 820137
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0137
Mailing Address - Country:US
Mailing Address - Phone:610-270-2352
Mailing Address - Fax:610-270-2358
Practice Address - Street 1:1301 POWELL ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3323
Practice Address - Country:US
Practice Address - Phone:610-270-2060
Practice Address - Fax:610-270-2652
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045505E207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7949291OtherCIGNA HMO/PPO
PA0120838101OtherAMERICHOICE
PA0012083810001Medicaid
PA1076898OtherKEYSTONE MERCY HP
PAMD045505EOtherHEALTH PARTNERS
PA0441899000OtherPERSONAL CHOICE/KHPE
PA613670OtherHIGHMARK BLUE SHIELD
PA1076898OtherKEYSTONE MERCY HP
PA0441899000OtherPERSONAL CHOICE/KHPE