Susan J. Kennedy, MD, PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

4301029292 Issued in MI

Legal business name

SUSAN J. KENNEDY, MD, PC

Practice address

2301 S Huron Pkwy
Suite 3D
Ann Arbor, MI 48104-5133

Phone

(734) 971-8815

Fax

(734) 971-8881

NPI assigned

Jan 3, 2011

Organization subpart

No

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

Authorized official

Name

Sheryl Ann Felice

Title

Office Manger

Phone

(734) 971-8815

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1093019200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S HURON PKWY",
            "address_2": "SUITE 3D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045133",
            "telephone_number": "734-971-8815",
            "fax_number": "734-971-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S HURON PKWY",
            "address_2": "SUITE 3D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045133",
            "telephone_number": "734-971-8815",
            "fax_number": "734-971-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN J. KENNEDY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "FELICE",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "734-971-8815"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "4301029292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Surrey, M.D.
• Taryn-Leigh Surtees, MD
• Kristina Katherine Susalla, PA-C
• Michael David Susalla
• Susan E. Watts, M.S.W., PC
• Catherine Susan
• Susanna M Hanrath, LMSW, PLLC
• Susannah Parke, D.O., PLC
• Jeremy Broder Sussman, MD
• McKenzie Marie Sussman

• Gynecology Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.