Individual provider Active NPI

Michiko Suzuki, M.D., PH.D.

  • Student in an Organized Health Care Education/Training Program
  • Indianapolis, IN
National Provider Identifier
1043445364
Registry record updated May 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
11014744A Issued in IN
Practice address
950 W Walnut St
R2 E202
Indianapolis, IN 46202-5188
Phone
(317) 274-7453
Fax
(317) 274-8575
NPI assigned
May 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 11014744A IN Primary

Addresses

Primary practice location

950 W Walnut St
R2 E202
Indianapolis, IN 46202-5188

Mailing address

950 W Walnut St
R2 E202
Indianapolis, IN 46202-5188

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
11014744AINMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242518400000",
    "number": "1043445364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W WALNUT ST",
            "address_2": "R2 E202",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W WALNUT ST",
            "address_2": "R2 E202",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025188",
            "telephone_number": "317-274-7453",
            "fax_number": "317-274-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZUKI",
        "first_name": "MICHIKO",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-17",
        "last_updated": "2009-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11014744A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.