Individual provider Active NPI

Susan Elizabeth Oshnock, PA-C

  • Surgical Physician Assistant
  • Detroit, MI
National Provider Identifier
1174640247
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
003151 Issued in MI
Practice address
22101 Moross Rd
Suite 132 Professional Office BLDG 1
Detroit, MI 48236-2148
Phone
(313) 343-3597
Fax
(313) 417-2718
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 003151 MI Primary

Addresses

Primary practice location

22101 Moross Rd
Suite 132 Professional Office BLDG 1
Detroit, MI 48236-2148

Mailing address

22101 Moross Rd
Suite 132 Professional Office BLDG 1
Detroit, MI 48236-2148
Phone (313) 343-3597

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070711000101 MI Practitioner - Physician Assistant 7416057120 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003151MIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System CurrentSince Nov 1, 2017 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Nov 4, 2017 Accepting new patients
Henry Ford Cornerstone Medical Group Current Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Health System Physician Assistant CurrentSince Nov 1, 2017 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Nov 4, 2017 Accepting new patients
Oakwood Group IX, LLC Past Accepting new patients

Locations

42645 Garfield Rd
Ste 103
Clinton Twp, MI 48038
Phone (586) 286-0050

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22101 Moross Rd
Ste 212
Detroit, MI 48236
Phone (313) 343-3485

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

22101 Moross Rd
Ste 132
Detroit, MI 48236
Phone (313) 343-3150

17700 23 Mile Rd
Ste 303
Macomb, MI 48044
Phone (313) 343-7900

46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

27450 Schoenherr Rd
Ste 500
Warren, MI 48088
Phone (586) 582-7632

Interoperability endpoints

  • Direct secure messaging: soshnock250833@direct.hfhs.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1174640247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD",
            "address_2": "SUITE 132 PROFESSIONAL OFFICE BLDG 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362148",
            "telephone_number": "313-343-3597",
            "fax_number": "313-417-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD",
            "address_2": "SUITE 132 PROFESSIONAL OFFICE BLDG 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362148",
            "telephone_number": "313-343-3597",
            "fax_number": "313-417-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHNOCK",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "003151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.