Susan H Klemmer MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

SK042375 Issued in MI

Legal business name

SUSAN H KLEMMER MD PC

Practice address

6080 Dixie Hwy
Suite B
Clarkston, MI 48346-3493

Phone

(248) 623-9700

Fax

(248) 623-8996

NPI assigned

Nov 18, 2010

Organization subpart

No

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

Authorized official

Name

Kathleen Marie Hidinger

Title

Office Manager

Phone

(248) 623-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Hanson Klemmer, M.D.

  • Dermatology Physician
  • Clarkston, MI
  • NPI 1093700247
  NPD (past)

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1083916407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 DIXIE HWY",
            "address_2": "SUITE B",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 DIXIE HWY",
            "address_2": "SUITE B",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463493",
            "telephone_number": "248-623-9700",
            "fax_number": "248-623-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN H KLEMMER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "HIDINGER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-623-9700"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "SK042375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0706301461",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Sudia, LMSW
• Eugene Denis Sullivan, PA-C
• Maria E Summerford
• Timothy Jason Summers, LLPC
• Satish Sundar, MD
• Melissa A Sutherland
• William Bruce Swain
• Kaleigh Swanson, DPT
• Kelly Anne Dooley Swanson, PA-C
• Kevin Michael Sweet, MPT

• Dermatology Physician in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.