Susan Mithoff Quade OD PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4901003686 Issued in MI

Legal business name

SUSAN MITHOFF QUADE OD PC

Practice address

2299 West Rd
Trenton, MI 48183-3615

Phone

(734) 676-4500

Fax

(734) 676-1587

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Brian Quade

Title

Office Manager

Phone

(734) 676-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay Paul Lizyness, OD

  • Optometrist
  • Madison Heights, MI
  • NPI 1629093562
  Medicare reassignment Care Compare group NPD
• Susan Mithoff Quade, OD

  • Optometrist
  • Trenton, MI
  • NPI 1184686883
  Medicare reassignment Care Compare group NPD
• Lisa Barry, O.D.

  • Optometrist
  • Shelby Township, MI
  • NPI 1174670509
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1023294584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833615",
            "telephone_number": "734-676-4500",
            "fax_number": "734-676-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833615",
            "telephone_number": "734-676-4500",
            "fax_number": "734-676-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MITHOFF QUADE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "QUADE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-676-4500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "4901003686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "900H22910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suburban Healthcare Organization PLLC
• Kajoor Sudhakara, MD
• Habib Sultan, PHARM.D.
• Summer Patterson
• Susan B Chamberlain MD PC
• David Susewitz
• Jaron Swift
• Samantha Symons
• Aaya Taweel, DPM
• Matthew Christopher Taylor, PAC

• Durable Medical Equipment & Medical Supplies in Trenton, MI
• Providers in Trenton, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.