Susan a. Radtke, M.D., P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SUSAN A. RADTKE, M.D., P.C.

Practice address

21321 Harper Ave
Suite a
Saint Clair Shores, MI 48080-2243

Phone

(586) 776-0797

Fax

(586) 776-4910

NPI assigned

May 23, 2008

Last updated

Apr 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Anne Radtke, MDNPI 1174531040

Title

President

Phone

(586) 776-0797

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan A Radtke, MD

  • Gynecology Physician
  • Saint Clair Shores, MI
  • NPI 1174531040
  NPD (past) Authorized official

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1821256116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21321 HARPER AVE",
            "address_2": "SUITE A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802243",
            "telephone_number": "586-776-0797",
            "fax_number": "586-776-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21321 HARPER AVE",
            "address_2": "SUITE A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802243",
            "telephone_number": "586-776-0797",
            "fax_number": "586-776-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN A. RADTKE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "RADTKE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-776-0797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0500301",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Elizabeth Sullivan
• Shannon Sullivan
• Karen L. Summe, MD
• Matthew Surducan
• Surgical Specialist of Michigan PC
• Susan Boyd, LLP PC
• Natalie Sutherland
• SVS Vision Inc
• Mari Lynn Sysak, BS
• Monica Renata Szmyd, MD

• Obstetrics & Gynecology Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, 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 Apr 24, 2012; 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.