Individual provider Active NPI

Susan Good Andrews, MD

  • Pediatrics Physician
  • Haslett, MI
National Provider Identifier
1093724783
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301042652 Issued in MI
Practice address
1640 Haslett Rd
Suite 1
Haslett, MI 48840-8691
Phone
(517) 575-0501
Fax
(517) 575-0503
NPI assigned
Aug 5, 2006
Last updated
Jan 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301042652 MI Primary

Addresses

Primary practice location

1640 Haslett Rd
Suite 1
Haslett, MI 48840-8691

Mailing address

1640 Haslett Rd
Suite 1
Haslett, MI 48840-8691
Phone (517) 575-0501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090717000491 MI Practitioner - Pediatric Medicine 3173675303 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2016 Accepting new patients
Edward W. Sparrow Hospital Association Pediatrics CurrentSince Jul 1, 2016 Accepting new patients
Jami a. Wichert M.D. PLLC Pediatrics Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1200 E Michigan Ave
Ste 460
Lansing, MI 48912
Phone (517) 364-2097

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1093724783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 HASLETT RD",
            "address_2": "SUITE 1",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408691",
            "telephone_number": "517-575-0501",
            "fax_number": "517-575-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 HASLETT RD",
            "address_2": "SUITE 1",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408691",
            "telephone_number": "517-575-0501",
            "fax_number": "517-575-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "SUSAN",
        "middle_name": "GOOD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301042652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haslett, MI

Sources for this page

Verify at the official NPI Registry.