Susan Lance, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601002659 Issued in MI

Practice address

14211 White Creek Ave NE
Cedar Springs, MI 49319-8168

Phone

(616) 252-6320

Fax

(616) 252-6360

NPI assigned

Jul 7, 2006

Last updated

Dec 1, 2017By 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 names 1

• Susan Thompson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: slance25895@direct.metrohealth.net

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.

• Metropolitan Enterprises Inc.

  dba Metro Health

  • Family Medicine Physician
  • Wyoming, MI
  • NPI 1770550105

  Physician Assistant

  NPD
• Metropolitan Hospital

  dba Metro Health Hospital

  • General Acute Care Hospital
  • Wyoming, MI
  • NPI 1619923919
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1194758037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BYRON CENTER AVE SW",
            "address_2": "ATTN: MEDICAL ADMINISTRATION",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14211 WHITE CREEK AVE NE",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198168",
            "telephone_number": "616-252-6320",
            "fax_number": "616-252-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCE",
        "first_name": "SUSAN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "THOMPSON",
            "credential": "PAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Neal Koster
• Brandon Kramer
• Chase Krueger
• Sarah Kuiper
• Aubrey Laarman
• Matthew Anthony Larsen, PA-C
• Sarah Lex, FNP-BC
• Matthew James Lottes, B.S
• McKenzie Lowery
• Jodi Ranee Maki, R.PH., PHARM.D.

• Physician Assistant in Cedar Springs, MI
• Providers in Cedar Springs, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.