UP SUPERIOR ENTERPRISES INC (NPI# 1275740318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275740318 |
| Entity Type | Organization |
| Organization Name | UP SUPERIOR ENTERPRISES INC |
| Practice Address |
2303 Ashmun St Sault Sainte Marie MI 49783-3749 |
| Mailing Address |
2675 Ashmun St Sault Sainte Marie MI 49783-3711 |
| Practice Telephone | 9066323772 |
| Practice Fax Number | 9066320309 |
| Mailing Telephone | 9066323772 |
| Mailing Fax Number | 9066320309 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-03-06 |
| Authorized Official Name | MR. RONALD ANTHONY GORDON (OWNER) |
| Authorized Official Telephone | 9066326736 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
00194T | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS AND BLUE SHIELD | 540A70445 | 01 |
| MI | 1275740318 | 05 |
| Street Address |
2303 ASHMUN ST |
| City | SAULT SAINTE MARIE |
| State | MI |
| Zip Code | 49783-3749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| 1033767512 | Louis William Bergman | Pharmacist | 3763 75 Business Spur, Sault Ste Marie, MI 49783 | 2019-08-28 |
| 1972076818 | Phyllis Mary Robertson | Speech-Language Pathologist | 2472 Ashmun Street, War Memorial Hospital Rehabilitation Centre, Sault Sainte Marie, MI 49783 | 2019-01-03 |
| 1831611748 | Thomas Matthew Choponis | Optometrist | 128 W Spruce St Ste 1, Sault Sainte Marie, MI 49783 | 2017-07-12 |
| 1730633223 | Holly D Statt | Dental Hygienist | 905 Marquette Ave, Sault Sainte Marie, MI 49783 | 2016-08-12 |
| 1316306590 | Debra Joyce Peake | Social Worker | 3865 South Mackinac Trail, Sault Ste Marie, MI 49783 | 2016-02-17 |
| 1629465935 | Jodi Johnson | Occupational Therapy Assistant | 1011 Merridian St, Sault Saint Marie, MI 49783 | 2015-04-24 |
| 1972885606 | Elizabeth Hayes | Social Worker | 3865 S Mackinac Trail, Sault Ste Marie, MI 49783 | 2011-09-20 |
| 1922252618 | Denise L. Montgomery | Registered Nurse | 500 Osborn Blvd., Sault Ste Marie, MI 49783 | 2008-11-08 |
| 1487829826 | Melanie A Cook | Eyewear Supplier (Equipment, not the service) | 1908 Ashman Street, Sault Ste Marie, MI 49783 | 2008-04-28 |
| Find all providers in zip 49783 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972857639 | Tri-county Home Medical Equipment & Repairs LLC | Durable Medical Equipment & Medical Supplies | 408 Magazine St, Sault Sainte Marie, MI 49783-1812 | 2012-11-02 |
| 1962438432 | Tega Inc | Durable Medical Equipment & Medical Supplies | 2650 I 75 Business Spur, Sault Sainte Marie, MI 49783-3536 | 2006-06-24 |
| 1215932827 | Sault Oxygen, Inc | Durable Medical Equipment & Medical Supplies | 1122 E Easterday Ave, Sault Sainte Marie, MI 49783-2334 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1669084174 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 2675 44th St Sw Ste 208, Wyoming, MI 49519-6834 | 2020-08-18 |
| 1215549720 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 44201 Dequindre Rd Ste 222, Troy, MI 48085-1117 | 2020-08-18 |
| 1700407368 | Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 11930 Whitmore Lake Rd Ste C, Whitmore Lake, MI 48189-9153 | 2020-05-05 |
| 1245860899 | American Home Health Care, Inc. | Durable Medical Equipment & Medical Supplies | 24782 Forterra Dr, Warren, MI 48089-4375 | 2020-01-23 |
| 1720623804 | Air-caire Home Medical Equipment and Supplies Inc | Durable Medical Equipment & Medical Supplies | 3554 Alpine Ave Nw, Grand Rapids, MI 49544-1659 | 2019-11-12 |
| 1285118976 | Compass Medical Equipment | Durable Medical Equipment & Medical Supplies | 28035 Southfield Rd Ste 104, Lathrup Village, MI 48076-2858 | 2018-09-19 |
| 1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
| 1588162168 | Valerie Bzeih Iatrics Medical Supplies and Equipment | Durable Medical Equipment & Medical Supplies | 7243 Reuter St, Dearborn, MI 48126-1545 | 2018-01-29 |
| 1649798901 | Patient Choice Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2075 Fort St Ste 101a, Lincoln Park, MI 48146-2191 | 2017-09-06 |
| Find all providers with the same taxonomy | ||||
| City | SAULT SAINTE MARIE |
| Zip Code | 49783 |
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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.