Kimberley Ann Suhanic, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101010115 Issued in MI

Practice address

301 Explorer St
Gwinn, MI 49841-2813

Phone

(906) 346-4924

NPI assigned

Sep 11, 2006

Last updated

Nov 1, 2019By 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 2

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

Specialty

Family Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Helen Newberry Joy HospitalGroup PAC ID 5799671285, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Helen Newberry Joy Hospital Hospital, Newberry, MI, CCN 231304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Helen Newberry Joy Hospital & Healthcare Center

  dba Manistique Lakes Family Clinic

  • Rural Health Clinic/Center
  • Curtis, MI
  • NPI 1972650935
  Medicare reassignment Care Compare group NPD
• Helen Newberry Joy Hospital & Healthcare Center

  dba HNJH - Skilled Care

  • Nursing Facility/Intermediate Care Facility
  • Newberry, MI
  • NPI 1164545323
  NPD
• Helen Newberry Joy Hospital & Healthcare Center

  • Critical Access Hospital
  • Newberry, MI
  • NPI 1497742050
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Helen Newberry Joy Hospital & Healthcare Center

  • Critical Access Hospital
  • Newberry, MI
  • NPI 1497742050
  Care Compare affiliation

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1275637449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W 17530 CO RD H42",
            "city": "CURTIS",
            "state": "MI",
            "postal_code": "49820",
            "telephone_number": "906-586-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EXPLORER ST",
            "city": "GWINN",
            "state": "MI",
            "postal_code": "498412813",
            "telephone_number": "906-346-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUHANIC",
        "first_name": "KIMBERLEY",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2750609",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "700D81000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sands Township
• Raymelle M. Schoos, M.D.
• David K Sorensen
• Rell Drake Spickerman
• Emily Starr, NP-C
• Township of Forsyth
• Autumn M Trudeau, NP
• Upper Great Lakes Family Health Center (Gwinn Family Health Center)
• Upper Great Lakes Family Health Center
• Upper Great Lakes Family Health Center (Menominee Family Health Center)

• Family Medicine Physician in Gwinn, MI
• Providers in Gwinn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.