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LIZA-ANN SUBA
NPI 1457078206
Student in an Organized Health Care Education/Training Program in Pontiac, MI

Active since October 24, 2022PECOS Enrolled
44405 WOODWARD AVE, PONTIAC, MI 48341(248) 858-3000 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2024, Apr 8, 2024, Oct 24, 2022 (3 updates tracked since 2022).

About Liza-ann Suba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIZA-ANN SUBA (NPI 1457078206) is an individual student in an organized health care education/training program in Pontiac, Michigan and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1457078206
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLIZA-ANN SUBA
Location Address44405 WOODWARD AVEPontiac, MI 48341-5023
Mailing Address44405 Woodward Ave, Graduate Medical Education DepartmentPontiac, MI 48341
Phone(248) 858-3000
Sole ProprietorNo
Enumeration DateOctober 24, 2022
Last NPPES UpdateApril 15, 20243 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
✔ NPI 1457078206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
44405 WOODWARD AVE, Pontiac, MI 48341
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Secondary Practice Location 1

Location 11111 W 17th StTulsa, OK 74107-1886 · Phone (918) 582-1972

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liza-ann Suba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KRASSIMIR LALEV DENCHEV M.D.
Anesthesiology
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 585-3023
ST. JOSEPH MERCY OAKLAND
General Acute Care Hospital
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 858-3000
ALEXANDRA SAUNDERS CNM
Advanced Practice Midwife
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 645-0840
LAURENCE ALEXANDER ROBERTS MD
Student in an Organized Health Care Education/Training Program
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 858-3000
HAYLEY ELIZABETH MARCINKOWSKI
Internal Medicine (Critical Care Medicine)
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 858-3000
DR. LAURA HARNESS DDS
Dentist
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 858-6100
LEAH LIU
Surgery
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 858-3000
DR. HENRY HUY KHANH NGUYEN M.D.
Radiology (Diagnostic Radiology)
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 858-3266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liza-ann Suba's NPI number?

The NPI number for Liza-ann Suba is 1457078206. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Liza-ann Suba located?

Liza-ann Suba practices at 44405 Woodward Ave, Pontiac, MI 48341. The listed phone number is (248) 858-3000.

What is Liza-ann Suba's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Liza-ann Suba enrolled in Medicare?

Yes. Liza-ann Suba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Liza-ann Suba was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.