Suzanne Hanses DO PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5101010432 Issued in MI

Legal business name

SUZANNE HANSES DO PLLC

Practice address

4911 W St Joe Hwy
Suite 102
Lansing, MI 48917

Phone

(517) 336-5176

NPI assigned

Oct 22, 2010

Organization subpart

No

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

Authorized official

Name

PJ Love

Title

Manager

Phone

(517) 336-5176

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1891095006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 W ST JOE HWY",
            "address_2": "SUITE 102",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 W ST JOE HWY",
            "address_2": "SUITE 102",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48917",
            "telephone_number": "517-336-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE HANSES DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "PJ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "517-336-5176"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101010432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205817749",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.