Susan Renee Schwark, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000453 Issued in MI

Practice address

11800 E 12 Mile Rd
Suite 1829
Warren, MI 48093-3472

Phone

(586) 573-5142

Fax

(586) 573-5530

NPI assigned

May 17, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kenneth L Gwinn MD PC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Shelby Township, MI
  • NPI 1629163217
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235346628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 E 12 MILE RD",
            "address_2": "SUITE 1829",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933472",
            "telephone_number": "586-573-5142",
            "fax_number": "586-573-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 E 12 MILE RD",
            "address_2": "SUITE 1829",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933472",
            "telephone_number": "586-573-5142",
            "fax_number": "586-573-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARK",
        "first_name": "SUSAN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Richard Schuster, D.D.S.
• Richard Walter Schuster, D.D.S.
• Sarah Lynn Schwab
• Chad Mitchell Schwalb, D.P.M.
• Jeffrey Schwalb, DPM
• Melissa Sue Schwartz, PA-C
• Steffanie Schwutke, MD
• Deborah D Scordalakes, PTA
• Aiyana Scott
• Charlitta Scott, MED

• Audiologist in Warren, MI
• Providers in Warren, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.