Susan K Strotheide, PA

Individual provider Active NPI Physician Assistant · Belding, MI

NPI 1003835877 · NPPES record last updated Feb 11, 2015

Key facts

NPI
1003835877
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
5601002358 (MI)
Practice address
1320 W State St
Ste 3a
Belding, MI 48809-9245
Phone
(616) 794-1810
Fax
(616) 794-1947
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Hospitals Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601002358 MI Yes

Addresses

Primary practice location

1320 W State St
Ste 3a
Belding, MI 48809-9245

Mailing address

1320 W State St
Ste 3a
Belding, MI 48809-2272
Phone (616) 794-1810

Other identifiers

IdentifierTypeStateIssuer
382454555013OtherMITRICARE
1598712390OtherMIGROUP NPI

Other providers in Belding, MI

All providers in Belding, MI · Physician Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.