Sus Professional Medical Service PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301043793 Issued in MI

Legal business name

SUS PROFESSIONAL MEDICAL SERVICE PLLC

Practice address

455 S Livernois Rd
Ste a-23
Rochester Hills, MI 48307-2578

Phone

(248) 652-9666

Fax

(248) 652-9660

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Huei Yen Su, MD

Title

Physician

Phone

(248) 652-9666

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700969417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S LIVERNOIS RD",
            "address_2": "STE A-23",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072578",
            "telephone_number": "248-652-9666",
            "fax_number": "248-652-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S LIVERNOIS RD",
            "address_2": "STE A-23",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072578",
            "telephone_number": "248-652-9666",
            "fax_number": "248-652-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUS PROFESSIONAL MEDICAL SERVICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "HUEI YEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-652-9666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301043793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4404206",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ramkrishna Surendran, M.D.
• Vikram Surendran
• Derek Susalla
• Susan Little Jones MD PC
• Suzanne Romadan,M.D.,P.C.
• Mary Margaret Swingle, C.P.N.P.
• Michelle B Swinton, LPN

• Obstetrics & Gynecology Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Obstetrics & Gynecology Physician 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.