Rachel F Sussman, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101015250 Issued in MI

Practice address

390 Park St
Suite 201
Birmingham, MI 48009-3400

Phone

(586) 558-8346

Fax

(586) 279-2124

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Center for Vein Restoration Mi PLLC

  • Surgery Physician
  • Portage, MI
  • NPI 1720388267
  NPD (past)
• David H Schulman DO PC

  • Vascular Surgery Physician
  • Warren, MI
  • NPI 1174719041
  NPD (past)
• Decatur Vein Clinic, Michigan, PC

  • Vascular Surgery Physician
  • Carmel, IN
  • NPI 1093881385
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1770787178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36500 FORD RD STE 212",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853769",
            "telephone_number": "586-997-0999",
            "fax_number": "586-997-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 PARK ST",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093400",
            "telephone_number": "586-558-8346",
            "fax_number": "586-279-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "RACHEL",
        "middle_name": "F",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "MI",
            "license": "5101015250",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suanne Zager, LMSW, Inc.
• Deborah Sukenic
• Lisa Susalla
• Susan Gross PSYD PLLC
• John M Sushko, DDS
• Steven Harry Sutherland, D.D.S.
• Richard W Suttle, P.A.
• Kelly Ann Sweeney
• Synergy Wellness
• Haley Sztykiel, LMSW

• Family Medicine Physician in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.