SUPERIOR MED LLC (NPI# 1225080591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225080591 |
| Entity Type | Organization |
| Organization Name | SUPERIOR MED LLC |
| Practice Address |
1350 Clark St Cambridge OH 43725-9614 |
| Mailing Address |
1251 Clark St Cambridge OH 43725-9612 |
| Practice Telephone | 7404390733 |
| Practice Fax Number | 7404398996 |
| Mailing Telephone | 7404390733 |
| Mailing Fax Number | 7404398996 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | TOM JEVAS (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7404352404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0915013 | 05 |
| Street Address |
1350 CLARK ST |
| City | CAMBRIDGE |
| State | OH |
| Zip Code | 43725-9614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849619 | Judith Olden | Home Health Aide | 807 N7th St., Cambridge, OH 43725 | 2020-10-19 |
| 1215419676 | Zak Harper | Student in an Organized Health Care Education/Training Program | 4245 College Hill Road, Cambridge, OH 43725 | 2018-09-02 |
| 1184133720 | Nancy Lou Mcintire | Counselor | 927 Wheeling Ave Suite 310, Cambridge, OH 43725 | 2017-09-27 |
| 1356877559 | Jane Engott | Counselor | 841 Stubenville Ave, Cambridge, OH 43725 | 2017-05-08 |
| 1316470701 | Kendra Winland | Case Management | 841 Steubenville Ave., Cambridge, OH 43725 | 2017-04-04 |
| 1609319870 | Candi Frame | Social Worker | 225 Woodlawn Ave, Cambridge, OH 43725 | 2016-11-21 |
| 1659727808 | William Andrew Kuebler | Pharmacist | 61690 Southgate Pkwy, Cambridge, OH 43725 | 2016-05-06 |
| 1790176758 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 503 Columbia Court, Cambridge, OH 43725 | 2015-02-12 |
| 1508257569 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 66620 Westgate Drive, Cambridge, OH 43725 | 2015-02-12 |
| 1558773432 | Altens Womens Health, LLC | Obstetrics & Gynecology | 65007 Old 21 Rd, Cambridge, OH 43725 | 2014-05-27 |
| Find all providers in zip 43725 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366677643 | Thomas D Coyne | General Practice | 9 Chauncy St, #64, Cambridge, MA 02138-2610 | 2009-05-15 |
| 1972711851 | Michael Albert Dundr | General Practice | 1330 Clark St, Cambridge, OH 43725-9614 | 2007-05-21 |
| 1992820799 | Mary Ann Asbell | General Practice | Genzyme, 500 Kendall Street, Cambridge, MA 02142 | 2007-03-20 |
| 1588229264 | Alana Maria Dimaso | General Practice | 330 Mount Auburn St, Cambridge, MA 02138-5597 | 2019-05-07 |
| 1811423452 | Joseph Gregory Kozikowski | General Practice | 245 First St, Suite 1800, Cambridge, MA 02142-1200 | 2017-05-02 |
| 1487033288 | Herbert & Kong LLC | General Practice | 777 Concord Ave, Suite 104, Cambridge, MA 02138-1056 | 2015-05-26 |
| 1902096035 | Lindsay A Mcnair | General Practice | 130 Waverly St, Cambridge, MA 02139-4242 | 2007-07-25 |
| 1063430932 | Amjad Rass, Inc | General Practice | 61353 Southgate Rd, Cambridge, OH 43725-6607 | 2006-07-18 |
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|---|---|---|---|---|
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| 1699306126 | Integrated Medicine of Ohio LLC | General Practice | 6200 Rockside Woods Blvd N Ste 100, Independence, OH 44131-2392 | 2020-02-03 |
| 1437796042 | Integrated Medicine of Ohio LLC | General Practice | 2780 S Arlington Rd Ste 202, Coventry Township, OH 44312-4707 | 2019-12-02 |
| 1265078497 | Jaime L Go Md Inc | General Practice | 1200 Resource Dr, Brooklyn Hts, OH 44131-1849 | 2019-11-22 |
| 1558902809 | Wecare Health Clinic Group, LLC | General Practice | 8918 Reading Rd, Cincinnati, OH 45215-3228 | 2019-10-07 |
| 1063062354 | Independent Physical Medicine LLC | General Practice | 3469 W Elm St, Lima, OH 45807-2226 | 2019-09-18 |
| 1861041535 | Allied Medical Integration, LLC | General Practice | 7067 Tiffany Blvd Ste 280, Poland, OH 44514-1803 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.