Susan Caldwell, MD
Individual provider Active NPI Family Medicine Physician · Dewitt, MI
NPI 1295830792 · NPPES record last updated Dec 31, 2007
Key facts
- NPI
- 1295830792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301067975 (MI)
- Practice address
- 13191 Schavey Rd
Suite 3
Dewitt, MI 48820-9036 - Phone
- (517) 669-9109
- Fax
- (517) 669-9839
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Human Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Edward W Sparrow Hospital Association
Practice addresses (Care Compare)
1600 W Grand River Ave
Okemos, MI 48864-2394
7335 Westshire Dr
Lansing, MI 48917-9703
Phone (517) 622-2788
Hospital & facility affiliations
- Edward W Sparrow Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071129000577 | MI | Practitioner - Family Practice | 7911096813 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301067975 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W Sparrow Hospital Association | Family Medicine | Current |
Accepting new patients |
| Edward W. Sparrow Hospital Association | Family Medicine | Current |
Accepting new patients |
| Edward W. Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Current |
Accepting new patients | |
| Edward W. Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Family Medicine | Current |
Accepting new patients |
| Edward W Sparrow Hospital Association | Family Medicine | Current |
Accepting new patients |
| Edward W Sparrow Hospital Association | Family Medicine | Current |
Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
13191 Schavey Rd
Ste 3
Dewitt, MI 48820
Phone (517) 669-9109
2900 Hannah Blvd
Ste 104
East Lansing, MI 48823
Phone (517) 364-8000
2040 Aurelius Rd
Ste 22
Holt, MI 48842
Phone (517) 244-8932
2040 Aurelius Rd
Holt, MI 48842
Phone (517) 694-2217
2909 E Grand River Ave
Ste 302
Lansing, MI 48912
Phone (517) 337-8680
2909 E Grand River Ave
Ste 202
Lansing, MI 48912
Phone (517) 364-8686
1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710
1200 E Michigan Ave
Ste 775
Lansing, MI 48912
Phone (517) 364-5160
7335 Westshire Dr
Ste 100
Lansing, MI 48917
Phone (517) 622-2788
1200 E Michigan Ave
Ste 500
Lansing, MI 48912
Phone (517) 364-5123
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900
230 Temple St
Mason, MI 48854
Phone (517) 676-4545
2446 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 253-5530
1600 W Grand River Ave
Ste 4
Okemos, MI 48864
Phone (517) 381-6880
901 S Oakland St
Ste 201
Saint Johns, MI 48879
Phone (989) 224-2338
805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881
301 Williamston Center Rd
Williamston, MI 48895
Phone (517) 253-5125
Interoperability endpoints
- scaldwell1646@sparrowdirecthie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301067975 | MI | Yes |
Addresses
Primary practice location
13191 Schavey Rd
Suite 3
Dewitt, MI 48820-9036
Mailing address
PO Box 13008
Lansing, MI 48901-3008
Phone (517) 364-6253
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0801900392 | Other | MI | BCBS INDIVIDUAL PIN |
| 4125970 | Medicaid | MI |
Other providers in Dewitt, MI
- Marilynn Lee Brown
- Lauren Brownell
- Hannah Brunner
- Madison Susan Burroughs
- Shylee F Cairns
- Capitol Area Physical Therapy Associates, Inc
- Jessica Lee Carpenter
- Carrothers Wellness, PLLC
- Chambers Walk-in Chiropractic LLC
- Randall H Chambers
All providers in Dewitt, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.