NPIMap

Individual provider Active NPI

Susan Lindsay Hollander, M.D

  • Neurology Physician
  • Rochester Hills, MI
National Provider Identifier
1013065879
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301068843 Issued in MI
Practice address
1708 Ridgecrest
Rochester Hills, MI 48306-3160
Phone
(815) 715-2299
Fax
(717) 674-6171
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 29502 OK
Neurology Physician 2084N0400X 2011010349 MO
Neurology Physician 2084N0400X 01069283A IN
Neurology Physician 2084N0400X MD60315550 WA
Neurology Physician 2084N0400X 101251455 VA
Neurology Physician 2084N0400X 48167 TN
Neurology Physician 2084N0400X MD445405 PA
Neurology Physician 2084N0400X 252383 NY
Neurology Physician 2084N0400X 45455 KY
Neurology Physician 2084N0400X 036.117626 IL
Neurology Physician 2084N0400X MD-38642 IA
Neurology Physician 2084N0400X ME112270 FL
Clinical Neurophysiology Physician 2084N0600X MD60315550 WA
Electroneurodiagnostic Specialist/Technologist 246ZE0600X MD60315550 WA
Neurology Physician 2084N0400X 4301068843 MI Primary

Addresses

Primary practice location

1708 Ridgecrest
Rochester Hills, MI 48306-3160

Mailing address

2601 Jahn Ave NW Ste A4
Gig Harbor, WA 98335-8905
Phone (360) 742-3538

Other identifiers 3

IdentifierTypeStateIssuer
1013065879MedicaidMO
273586431-62401-01MedicaidIL
OF36369OtherILBCBS-IL

Other names 1

  • Dr. Susan L. P. Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120611000400 TN Practitioner - Neurology 3870560295 Reassigns benefits to 1 organization
I20200214000238 CO Practitioner - Neurology 3870560295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Wayne State University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurologic LLCGroup PAC ID 3870895360, 4 clinicians

Practice addresses (Care Compare)

Boulder, CO 80301
Phone (303) 888-4384

1068 Carlisle LN
Franklin, TN 37064-4801
Phone (303) 810-5865

Hospital & facility affiliations

  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065
  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113
  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061

Merit-based Incentive Payment System (MIPS)

Final score
61.22 of 100Reported as individual
Quality
93.25
Improvement activities
0
Cost
79.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME112270FLMDNeurology Physician
MD-38642IAMDNeurology Physician
036.117626ILMDNeurology Physician
01069283AINMDNeurology Physician
2011010349MOMDNeurology Physician
252383NYMDNeurology Physician
29502OKMDNeurology Physician
MD445405PAMDNeurology Physician
101251455VAMDNeurology Physician
MD60315550WAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ionm Physicians Services, S.C. CurrentSince Feb 14, 2021 Accepting new patients
Neurologic, LLC CurrentSince Jul 13, 2022 Accepting new patients
Broncor Inc PastSince Oct 29, 2012 Accepting new patients
The Neuromonitoring Group, LP Electroneurodiagnostic Past Accepting new patients
Neurohealth Associates PLC Neurology Past Accepting new patients
Oversight Physician Technologies, PC Past Accepting new patients
Neuro Iom Services Inc Neurology Past Accepting new patients

Locations

4845 Pearl East Cir
Ste 101
Boulder, CO 80301
Phone (303) 447-7174

Networks

  • IA HMO
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IL PPO Downstate
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IA HMO C-SNP

Organizations & group practices 8

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1013065879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 JAHN AVE NW STE A4",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358905",
            "telephone_number": "360-742-3538",
            "fax_number": "717-674-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 RIDGECREST",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063160",
            "telephone_number": "815-715-2299",
            "fax_number": "717-674-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANDER",
        "first_name": "SUSAN",
        "middle_name": "LINDSAY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
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            "license": "29502",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
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            "license": "2011010349",
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        {
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            "taxonomy_group": "",
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            "state": "VA",
            "license": "101251455",
            "primary": false
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        {
            "code": "2084N0400X",
            "taxonomy_group": "",
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            "state": "TN",
            "license": "48167",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
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            "state": "PA",
            "license": "MD445405",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "252383",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "45455",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036.117626",
            "primary": false
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        {
            "code": "2084N0400X",
            "taxonomy_group": "",
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            "state": "IA",
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            "primary": false
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        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME112270",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "WA",
            "license": "MD60315550",
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "WA",
            "license": "MD60315550",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301068843",
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        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013065879",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273586431-62401-01",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-IL",
            "identifier": "OF36369",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ANDERSON",
            "middle_name": "L. P.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.