Individual provider Active NPI

Cheryl Ann Sulisz, MD, MPH, MS, FACOEM

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Romulus, MI
National Provider Identifier
1518019397
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
4301051486 Issued in MI
Practice address
11700 Metro Airport Center Dr Ste 104
Romulus, MI 48174-1404
Phone
(734) 955-7000
Fax
(734) 955-7006
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 4301051486 MI
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 4301051486 MI Primary

Addresses

Primary practice location

11700 Metro Airport Center Dr Ste 104
Romulus, MI 48174-1404

Mailing address

11700 Metro Airport Center Dr.
Suite 104
Romulus, MI 48174
Phone (734) 955-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1518019397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 METRO AIRPORT CENTER DR.",
            "address_2": "SUITE 104",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "48174",
            "telephone_number": "734-955-7000",
            "fax_number": "734-955-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 METRO AIRPORT CENTER DR STE 104",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741404",
            "telephone_number": "734-955-7000",
            "fax_number": "734-955-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULISZ",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, MS, FACOEM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MI",
            "license": "4301051486",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MI",
            "license": "4301051486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.