Susan Hanson Klemmer, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

SK042375 Issued in MI

Practice address

6080 Dixie Hwy
Suite B
Clarkston, MI 48346-3493

Phone

(248) 623-9700

Fax

(248) 623-8996

NPI assigned

Sep 14, 2005

Last updated

May 1, 2008By the provider in NPPES

Sex

Female

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

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jennifer Caudill, MD PLLC

  • Dermatology Physician
  • Clarkston, MI
  • NPI 1477841245
  NPD
• Susan H Klemmer MD PC

  • Dermatology Physician
  • Clarkston, MI
  • NPI 1083916407
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1093700247",
    "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",
            "telephone_number": "248-623-9700",
            "fax_number": "248-623-8996"
        },
        {
            "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": {
        "last_name": "KLEMMER",
        "first_name": "SUSAN",
        "middle_name": "HANSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "SK042375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0706301461",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kindmind Behavioral Health (Triad Associates)
• Kindmind Psychiatric Health
• Sydney King
• Daejaun Kittles
• Jaryn Alice Kivari, BEHAVIOR TECHNICIAN
• Susan Knapp, LLMSW
• Richard Carl Kneip, PH.D.
• Christina Lynn Knickerbocker
• Teresa Marie Knorr, RN
• Beth Elaine Kociba, OTR/L

• 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 May 1, 2008; 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.