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DR. SUSANNAH ELIZABETH LYDDON DMD
NPI 1972161214
Student in an Organized Health Care Education/Training Program in Pontiac, MI

Active since June 02, 2019PECOS Enrolled
44405 WOODWARD AVE, PONTIAC, MI 48341(248) 858-3234 Get Directions Write a Review

NPPES record last updated: June 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susannah Elizabeth Lyddon Dmd NPPES

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

DR. SUSANNAH ELIZABETH LYDDON DMD (NPI 1972161214) is an individual student in an organized health care education/training program in Pontiac, Michigan and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972161214
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SUSANNAH ELIZABETH LYDDONCredential: DMD
Location Address44405 WOODWARD AVEPontiac, MI 48341-5023
Mailing Address3386 Auburn Rd Apt 3205Auburn Hills, MI 48326-3483 · (734) 635-5780
Phone(248) 858-3234
Sole ProprietorNo
Enumeration DateJune 2, 2019
✔ NPI 1972161214 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susannah Elizabeth Lyddon Dmd 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 Susannah Lyddon's NPI number?

The NPI number for Susannah Lyddon is 1972161214. It was assigned to this individual provider in the NPPES registry on June 2, 2019.

Where is Susannah Lyddon located?

Susannah Lyddon practices at 44405 Woodward Ave, Pontiac, MI 48341. The listed phone number is (248) 858-3234.

What is Susannah Lyddon's specialty?

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

Is Susannah Lyddon enrolled in Medicare?

Yes. Susannah Lyddon is registered in the Medicare PECOS enrollment system.

What insurance does Susannah Lyddon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 11 other insurers list Susannah Lyddon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susannah Lyddon was last updated on June 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.