NPIMap

Individual provider Active NPI

Susan Herderich Strich, M.D.

  • Internal Medicine Physician
  • Saint Ignace, MI
National Provider Identifier
1326026501
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301057631 Issued in MI
Practice address
1140 North State Street
Saint Ignace, MI 49781
Phone
(906) 643-8585
Fax
(906) 643-9036
NPI assigned
Jan 6, 2006
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 057631 MI
Internal Medicine Physician 207R00000X 4301057631 MI Primary

Addresses

Primary practice location

1140 North State Street
Saint Ignace, MI 49781

Mailing address

1140 North State Street
Saint Ignace, MI 49781
Phone (906) 643-8585

Other identifiers 3

IdentifierTypeStateIssuer
0G71004OtherMIRHC BLUE CROSS
3240440MedicaidMI
103240440MedicaidMI

Other names 1

  • Susan Herderich Hepker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070406000050 MI Practitioner - Emergency MedicinePractitioner - Internal Medicine 0941304604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mackinac Straits Health System IncGroup PAC ID 1456420876, shared by 7 NPIs, 19 clinicians

Practice addresses (Care Compare)

1140 N State St
Saint Ignace, MI 49781-1048
Phone (906) 643-8585

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057631MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mackinac Straits Health System Inc Current Accepting new patients
Mackinac Straits Health System Inc CurrentSince Jan 3, 2010 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Jan 3, 2010 Accepting new patients
Mackinac Straits Health System Inc Past Accepting new patients
Mackinac Straits Health System Inc Past Accepting new patients

Locations

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

Interoperability endpoints

  • Direct secure messaging: sstrich128297@mymichiganhealth.midirect.net

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mackinac Straits Hospital and Health CenterSaint Ignace, MI, CCN 231306 Hospital Corporate Director Jun 1, 2018
Mackinac Straits Hospital and Health CenterSaint Ignace, MI, CCN 23Z306 Hospital Corporate Director Jun 1, 2018
Evergreen Living CenterSaint Ignace, MI, CCN 235041 Skilled nursing facility Corporate Director Jun 1, 2018
St. Ignace Medical ClinicSaint Ignace, MI, CCN 233979 Rural health clinic Corporate Director Jun 1, 2018
Mackinaw City Medical ClinicMackinaw City, MI, CCN 238651 Rural health clinic Corporate Director Jun 1, 2018
Rivertown Medical ClinicCheboygan, MI, CCN 238716 Rural health clinic Corporate Director Jun 1, 2018

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1326026501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 NORTH STATE STREET",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "49781",
            "telephone_number": "906-643-8585",
            "fax_number": "906-643-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 NORTH STATE STREET",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "49781",
            "telephone_number": "906-643-8585",
            "fax_number": "906-643-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICH",
        "first_name": "SUSAN",
        "middle_name": "HERDERICH",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "057631",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301057631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC BLUE CROSS",
            "identifier": "0G71004",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3240440",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103240440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HEPKER",
            "middle_name": "HERDERICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Ignace, MI

Sources for this page

Verify at the official NPI Registry.