Suzette Sanchez, D.O., Dermatology, P.C

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

5101012352 Issued in MI

Legal business name

SUZETTE SANCHEZ, D.O., DERMATOLOGY, P.C

Practice address

3290 N Wellness Dr
Suite 260
Holland, MI 49424-7259

Phone

(616) 399-9040

Fax

(616) 399-0934

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Shelley Gray

Title

Billing Manager

Phone

(616) 399-9040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzette Sanchez, DO

  • Dermatology Physician
  • Holland, MI
  • NPI 1720089907
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396808291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 N WELLNESS DR",
            "address_2": "SUITE 260",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247259",
            "telephone_number": "616-399-9040",
            "fax_number": "616-399-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 N WELLNESS DR",
            "address_2": "SUITE 260",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247259",
            "telephone_number": "616-399-9040",
            "fax_number": "616-399-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZETTE SANCHEZ, D.O., DERMATOLOGY, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "616-399-9040"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "5101012352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114620102",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Sukumaran, LCSW, LMSW, MPH
• Daniel James Sullivan
• Sunflower Families LLC
• Sunrise Counseling PLLC
• Susan Hofland Counseling
• Suzette Sanchez, DO Dermatology, PC
• Michaela Svoboda, LMSW, CAADC, CCS
• SVS Vision Inc
• Miah Gruber Swanger
• John Swartz, D.O.

• Clinic/Center in Holland, MI
• Providers in Holland, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.