Wilmar Suan

Primary specialty

Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X

Practice address

3290 W Big Beaver Rd Ste 510
Troy, MI 48084-2917

Phone

(734) 513-2731

NPI assigned

Oct 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• HR Alliance I, Inc

  • Supports Brokerage Agency
  • Troy, MI
  • NPI 1114693298
  NPD Authorized official
• Trac Autism Center Inc.

  • Behavior Analyst
  • Grand Blanc, MI
  • NPI 1154889459
  NPD

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1043786874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33150 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501646",
            "telephone_number": "734-513-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 W BIG BEAVER RD STE 510",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842917",
            "telephone_number": "734-513-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAN",
        "first_name": "WILMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "455246780",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Stumpf
• Kayla Cheyenne Sturdivant
• Martha M Sturgeon, DNP ACNS-BC NP
• Oana Sorina Sturza, PA-C
• Robert Styles
• Suburban Home Care Inc.
• Adam Sucher, D.O
• Lisa Anne Sucher, PA
• Jessica Joanne Sudlow, PA
• Ronald Louis Sudomir, DDS

• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Troy, MI
• Providers in Troy, MI by specialty
• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.