Individual provider Active NPI

Susan Marie Ott, D.O.

  • Orthopaedic Surgery Physician
  • Owosso, MI
National Provider Identifier
1447328299
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101012156 Issued in MI
Practice address
113 E Williams St
Owosso, MI 48867-2360
Phone
(989) 725-6101
Fax
(989) 723-3601
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101012156 MI Primary

Addresses

Primary practice location

113 E Williams St
Owosso, MI 48867-2360

Mailing address

1575 Ramblewood Dr
East Lansing, MI 48823-6384
Phone (989) 725-6528

Other identifiers 1

IdentifierTypeStateIssuer
1447328299MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150323000399 MI Practitioner - Orthopedic Surgery 4981770849 Reassigns benefits to 2 organizations
I20240605001507 ND Practitioner - Orthopedic Surgery 4981770849 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Charity Association Current Accepting new patients
Sparrow Clinton Hospital CurrentSince Jul 1, 2019 Accepting new patients
Lutheran Charity Association Current Accepting new patients
Lutheran Charity Association CurrentSince May 20, 2024 Accepting new patients
Sparrow Carson Hospital CurrentSince Feb 1, 2018 Accepting new patients
Sparrow Carson Hospital CurrentSince Feb 1, 2018 Accepting new patients
Lutheran Charity Association CurrentSince May 20, 2024 Accepting new patients
Sparrow Carson Hospital Internal Medicine Current Accepting new patients
Sandhill Bone & Joint Inc Orthopaedic Surgery PastSince Dec 10, 2008 Accepting new patients
Harlingen Physician Network Inc Internal Medicine Past Accepting new patients
Guthrie Medical Group, P.C. Past Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

423 E Main St
#A
Carson City, MI 48811
Phone (989) 584-3142

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145

114 N Main St
Ithaca, MI 48847
Phone (989) 875-4166

901 S Oakland St
Saint Johns, MI 48879
Phone (517) 227-2338

2422 20th St SW
Jamestown, ND 58401
Phone (701) 252-1050

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1447328299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 RAMBLEWOOD DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236384",
            "telephone_number": "989-725-6528",
            "fax_number": "989-723-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E WILLIAMS ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672360",
            "telephone_number": "989-725-6101",
            "fax_number": "989-723-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101012156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447328299",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.