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
Hospital & facility affiliations 6
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
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
- Henry Ford Health St John Hospital
- Henry Ford Health Hospital
- McLaren Port Huron
- Henry Ford Macomb Hospital
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111011000034 | MI | Practitioner - Family Practice | 0143492447 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301092496 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health River District Hospital | Current |
Accepting new patients | |
| Henry Ford Health River District Hospital | Family Medicine | Current |
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
- sross1149616@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- River District Emergency Physicians, P. C.
- River District Emergency Physicians, P.C.
- River District Orthopedic Surgery and Sports Medicine, PC
- Riverside Eye Center PC
- Leila Robbins
- Lisa Beth Scheel
- Vanessa Schiffelbine
- Jessica Scholey
- Kurt Schultz
- Maryann Selman
All providers in East China, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.