Susan Tesi Clarkson, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301048710 Issued in MI

Practice address

6602 Peninsula Way
Laingsburg, MI 48848-9269

Phone

(517) 651-2869

NPI assigned

Nov 25, 2009

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

• Miss Susan Renee Tesi Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 25, 2009.

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1922336288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 PENINSULA WAY",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488489269",
            "telephone_number": "517-651-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 PENINSULA WAY",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488489269",
            "telephone_number": "517-651-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "SUSAN",
        "middle_name": "TESI",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301048710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "TESI",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew M Barclay, PH.D..
• Dolores M Borland Hunt, PHD
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• Clara C Carroll, PA
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• Shara Mariam Curry, LPN
• Cheri Anne Dod-Good

• All providers in Laingsburg, MI
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.