Individual provider Active NPI

Suzanne Marie Hanses, DO

  • Surgery Physician
  • Lansing, MI
National Provider Identifier
1205817749
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101010432 Issued in MI
Practice address
4911 W St Joe Hwy
Ste 102
Lansing, MI 48917-4088
Phone
(517) 853-3600
Fax
(517) 853-0085
NPI assigned
Nov 10, 2005
Last updated
Feb 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101010432 MI Primary

Addresses

Primary practice location

4911 W St Joe Hwy
Ste 102
Lansing, MI 48917-4088

Mailing address

4911 W St Joe Hwy
Ste 102
Lansing, MI 48917-4088
Phone (517) 853-3600

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
I20070207000130 MI Practitioner - General Surgery 7113929969

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101010432MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Lansing Surgical Associates, PLLC Surgery Past Accepting new patients

Organizations & group practices 1

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1205817749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 W ST JOE HWY",
            "address_2": "STE 102",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174088",
            "telephone_number": "517-853-3600",
            "fax_number": "517-853-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 W ST JOE HWY",
            "address_2": "STE 102",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174088",
            "telephone_number": "517-853-3600",
            "fax_number": "517-853-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSES",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101010432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.