Sussan J Salas MD PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SUSSAN J SALAS MD PLLC

Practice address

14555 Levan Rd Ste 312
Livonia, MI 48154-5085

Phone

(734) 855-4358

Fax

(734) 744-4505

NPI assigned

Jun 28, 2022

Organization subpart

No

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

Authorized official

Name

Sussan Salas, MDNPI 1518163575

Title

Owner

Phone

(734) 855-4358

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26908/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sussan Janett Salas, MD

  • Neurological Surgery Physician
  • Livonia, MI
  • NPI 1518163575

  MI, Neurological Surgery

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1104558287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD STE 312",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545085",
            "telephone_number": "734-855-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD STE 312",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545085",
            "telephone_number": "734-855-4358",
            "fax_number": "734-744-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSSAN J SALAS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "SUSSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-855-4358",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Surdakowski
• Shruti Suresh Suvarna, MD, MHA
• Sathvik Suryadevara
• Susan N Blaskay DC PC
• Susan Thomas, DDS
• Jaime Lynn Sutherland, MS, LLP, CAADC
• Thomas Sutherland, MA, LPC, NCC
• Lindsey Marie Sutter, RDN
• Casey Sutton, DPT
• Maria Svidler, LMSW

• All providers in Livonia, MI
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.