Organization Active NPI

Susan S Barnes, D.O., P.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lake Orion, MI
National Provider Identifier
1053567198
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
SUSAN S BARNES, D.O., P.C.
Practice address
585 E Flint St
Lake Orion, MI 48362-3209
Phone
(248) 693-0505
NPI assigned
Aug 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Dr. Susan Seymour Barnes, D.O.
Title
President
Phone
(248) 535-0955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

585 E Flint St
Lake Orion, MI 48362-3209

Mailing address

PO Box 404
Clarkston, MI 48347-0404
Phone (248) 535-0955

Other identifiers 1

IdentifierTypeStateIssuer
MI1021OtherMIMEDICARE IDENTIFICATION NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1053567198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483470404",
            "telephone_number": "248-535-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 E FLINT ST",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483623209",
            "telephone_number": "248-693-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN S BARNES, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "SEYMOUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-535-0955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "MI1021",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.