Active NPI
Susan Hamilton, CRNA
- Anesthesiology Physician
- Bad Axe, MI
National Provider Identifier
1639269814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4704088608
- Practice address
- 1100 S Van Dyke Rd
Bad Axe, MI 48413-9615 - Phone
- (989) 269-9521
- Fax
- (989) 269-5216
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4704088608 | MI | Primary |
Addresses
Primary practice location
1100 S Van Dyke Rd
Bad Axe, MI 48413-9615
Mailing address
9898 N Shore Dr
Pigeon, MI 48755-9762
Phone (989) 856-4773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4070344 | Medicaid | MI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704088608 | MI | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1639269814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9898 N SHORE DR",
"city": "PIGEON",
"state": "MI",
"postal_code": "487559762",
"telephone_number": "989-856-4773",
"fax_number": "989-269-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S VAN DYKE RD",
"city": "BAD AXE",
"state": "MI",
"postal_code": "484139615",
"telephone_number": "989-269-9521",
"fax_number": "989-269-5216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4704088608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4070344",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bad Axe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.