Susannah Parke, D.O., PLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5101018579 Issued in MI

Legal business name

SUSANNAH PARKE, D.O., PLC

Practice address

2800 South State St
Suite 215
Ann Arbor, MI 48104

Phone

(734) 547-3990

Fax

(734) 547-3980

NPI assigned

Dec 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Susannah Parke, D.O.NPI 1962634675

Title

Physician/ Business Owner

Phone

(857) 225-2664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Susannah Grier Parke, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Ann Arbor, MI
  • NPI 1962634675
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1679948368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SOUTH STATE ST",
            "address_2": "SUITE 215",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48104",
            "telephone_number": "734-547-3990",
            "fax_number": "734-547-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SOUTH STATE ST",
            "address_2": "SUITE 215",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48104",
            "telephone_number": "734-547-3990",
            "fax_number": "734-547-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANNAH PARKE, D.O., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "PARKE",
        "authorized_official_first_name": "SUSANNAH",
        "authorized_official_title_or_position": "PHYSICIAN/ BUSINESS OWNER",
        "authorized_official_telephone_number": "857-225-2664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101018579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Susalla
• Susan E. Watts, M.S.W., PC
• Susan J. Kennedy, MD, PC
• Catherine Susan
• Susanna M Hanrath, LMSW, PLLC
• Jeremy Broder Sussman, MD
• McKenzie Marie Sussman
• Mira Shlomit Sussman
• Ryan James Sutherlan, PHARMD
• Daniel William Sutherland, PA-C

• Physical Medicine & Rehabilitation Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.