Suburban Occupational Health

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

1962523308 Issued in MI

Legal business name

SUBURBAN OCCUPATIONAL HEALTH

Practice address

29750 Ecorse Rd
Romulus, MI 48174-3528

Phone

(734) 728-4445

Fax

(734) 728-4442

NPI assigned

Jan 13, 2017

Organization subpart

No

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

Authorized official

Name

James Siskosky, D.O

Title

Cfo

Phone

(734) 728-4445

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1366988438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29750 ECORSE RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29750 ECORSE RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743528",
            "telephone_number": "734-728-4445",
            "fax_number": "734-728-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN OCCUPATIONAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "SISKOSKY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "734-728-4445",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MI",
            "license": "1962523308",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MI",
            "license": "1841318029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508913047",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962523308",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841318029",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiara Renee Stephens, RN
• Tanise Marcell Stevens, CPC-I
• Sheena Strickland
• Inza Sturdivant-Bryant
• Substance Detection Center
• Cheryl Ann Sulisz, MD, MPH, MS, FACOEM
• Super Franks LLC
• Superior Care Hospice Inc
• Clarence Robert Sutton III, DC
• Maryam I.M Tawfik, DDS, MD

• Occupational Medicine Clinic/Center in Romulus, MI
• Providers in Romulus, MI by specialty
• Occupational Medicine Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.