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Independent Emergency Physicians P.C.

NPI 1700136520ActiveOrganization· Physician Assistant· Jackson, MI

Physician Assistant in Jackson, Michigan, registered in NPPES in September 2012. The authorized official on file is Julie Susin, MBA, Business Manager.

Overview

NPI1700136520
StatusActive
Entity typeOrganization
NPI issuedSep 19, 2012
Last updated in NPPESSep 19, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X1784233MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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