Suzanne V. Ross, M.D.

Individual provider Active NPI Family Medicine Physician · East China, MI

NPI 1841453586 · NPPES record last updated Dec 6, 2017

Key facts

NPI
1841453586
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
4301092496 (MI)
Practice address
4014 River Rd Ste 6
East China, MI 48054-2916
Phone
(810) 329-6677
Fax
(810) 329-5730
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
University of Michigan Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health River District Hospital (9 clinicians)

Practice addresses (Care Compare)

4014 River Rd
East China, MI 48054-2916

4014 S River Rd
Suite 6
East China, MI 48054-2916
Phone (810) 329-6677

4100 River Rd
East China, MI 48054-2909
Phone (810) 329-7111

4100 S River Rd
East China, MI 48054-2909
Phone (810) 329-5395

Hospital & facility affiliations

  • Ascension River District Hospital Hospital · East China, MI · CCN 230241
  • Henry Ford Health St John Hospital Hospital · Detroit, MI · CCN 230165
  • Henry Ford Health Hospital Hospital · Detroit, MI · CCN 230053
  • McLaren Port Huron Hospital · Port Huron, MI · CCN 230216
  • Henry Ford Macomb Hospital Hospital · Clinton Township, MI · CCN 230047

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20111011000034 MI Practitioner - Family Practice 0143492447 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301092496MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health River District Hospital Current
since Oct 17, 2011
Accepting new patients
Henry Ford Health River District Hospital Family Medicine Current
since Oct 17, 2011
Accepting new patients

Locations

4014 S River Rd
Ste 1
East China, MI 48054
Phone (810) 326-1229

4014 S River Rd
Ste 6
East China, MI 48054
Phone (810) 329-6677

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

36620 Heritage Dr
Richmond, MI 48062
Phone (586) 727-3275

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

Interoperability endpoints

  • Direct secure messaging: sross1149616@direct.hfhs.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301092496 MI Yes

Addresses

Primary practice location

4014 River Rd Ste 6
East China, MI 48054-2916

Mailing address

4014 River Rd Ste 6
East China, MI 48054-2916
Phone (810) 329-6677

Other practice location 1

1500 E Medical Center Dr
L2003 Women's Hospital, SPC 5239
Ann Arbor, MI 48109-5000
Phone (734) 615-2690

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 6, 2017.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1841453586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 RIVER RD STE 6",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542916",
            "telephone_number": "810-329-6677",
            "fax_number": "810-329-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 RIVER RD STE 6",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542916",
            "telephone_number": "810-329-6677",
            "fax_number": "810-329-5730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Medical Center Dr",
            "address_2": "L2003 Women's Hospital, SPC 5239",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095000",
            "country_code": "US",
            "telephone_number": "734-615-2690",
            "fax_number": "734-615-2687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SUZANNE",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301092496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East China, MI

All providers in East China, MI · Family Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.