Susan E Holibaugh, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

5901001528 Issued in MI

Practice address

1281 E Sherman Blvd
1281 E Sherman
Muskegon, MI 49444

Phone

(231) 733-1511

Fax

(231) 733-7980

NPI assigned

Mar 10, 2006

Last updated

Aug 16, 2018By 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 identifiers 3

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

College of Podiatric Med and Surgery, Des Moines University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diabetic Foot and Wound Care Center PLLCGroup PAC ID 8123219482, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.holibaugh@direct.secureehrthomas.com

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.

• Diabetic Foot and Wound Care Center PLLC

  • Podiatrist
  • Muskegon, MI
  • NPI 1235455031
  Medicare reassignment Care Compare group NPD Authorized official
• Diabetic Foot PLLC

  dba Diabetic Foot Management Center of MI

  • Podiatrist
  • Muskegon, MI
  • NPI 1558553628
  Authorized official Same address or phone

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1235107632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 E SHERMAN BLVD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494441846",
            "telephone_number": "231-733-1511",
            "fax_number": "231-489-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 E SHERMAN BLVD",
            "address_2": "1281 E SHERMAN",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-733-1511",
            "fax_number": "231-733-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIBAUGH",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "5901001528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINASTAR  DMERC",
            "identifier": "4609590001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2693057",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "4856110470",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas E Hoch, M.D.
• Lindsey Hoffman, RDH, BSDH
• Sondra Mae Hoffmeyer
• Chianti Holbrook-Brown
• Shontrice Yvette Holbrook
• Jessica Marie Holmes, MA
• Leigh A Holmes
• Angela M Holmstrom, B.A.
• Gregory Allan Holton Jr., M.D.
• Homcare Inc.

• Foot Surgery Podiatrist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Foot Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.