Individual provider Active NPI

Jeannine Mary Suksi, DC

  • Chiropractor
  • Port Huron, MI
National Provider Identifier
1003986829
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JS006109 Issued in MI
Practice address
2100 Water St
Port Huron, MI 48060-2543
Phone
(810) 982-2700
Fax
(810) 982-5194
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X JS006109 MI Primary

Addresses

Primary practice location

2100 Water St
Port Huron, MI 48060-2543

Mailing address

2100 Water St
Port Huron, MI 48060-2543
Phone (810) 982-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041210000443 MI Practitioner - Chiropractic 9436116597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Lakeview Chiropractic IncGroup PAC ID 6709894603, 7 clinicians

Practice addresses (Care Compare)

2100 Water St
Port Huron, MI 48060-2543
Phone (810) 982-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
JS006109MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Chiropractic Inc Chiropractor CurrentSince Nov 5, 2012 Accepting new patients
Dungan Chiropractic Clinic Chiropractor Past Accepting new patients

Locations

2100 Water St
Port Huron, MI 48060
Phone (810) 966-3900

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1003986829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WATER ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602543",
            "telephone_number": "810-982-2700",
            "fax_number": "810-982-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WATER ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602543",
            "telephone_number": "810-982-2700",
            "fax_number": "810-982-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKSI",
        "first_name": "JEANNINE",
        "middle_name": "MARY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JS006109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.