John Thomas Super (NPI# 1487683017, PAC ID# 0749273316) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1487683017 |
| PAC ID by PECOS | 0749273316 |
| Professional Enrollment ID | I20040407001512 |
| Full Name | John Thomas Super |
| Address |
9906 State Rd 64 Bradenton FL 34212-5303 |
| Phone Number | 9417085306 |
| Gender | M |
| Credential | PSY |
| Graduation Year | 1989 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9906 State Rd 64, Bradenton, FL 34212-5303 | 9417085306 |
| Street Address |
9906 STATE RD 64 |
| City | BRADENTON |
| State | FL |
| Zip | 34212-5303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laure Weissman | Speech Language Pathologist | 126 Babbling Brook Run, Bradenton, FL 34212-3008 | |
| Mario E Litano | General Practice | Manatee Physician Alliance LLC | 9908 Sr 64, Bradenton, FL 34212-5303 |
| Judy Humphreys | Nurse Practitioner | Manatee Physician Alliance LLC | 9908 Sr 64, Bradenton, FL 34212-5303 |
| Lindsay Jane Montague | Oral Surgery | Patricia Devilliers Dds PC Co | 14730 2nd Ave Cir Ne, Bradenton, FL 34212-5577 |
| Patricia Devilliers | Oral Surgery | Patricia Devilliers Dds PC Co | 14730 2nd Ave Cir Ne, Bradenton, FL 34212-5577 |
| Andrew Burg | Family Medicine | Smh Physician Services Inc | 1040 River Heritage Blvd, Unit 204, Bradenton, FL 34212-6348 |
| Kr Byju | Gastroenterology | Florida Digestive Health Specialists, LLP | 1040 River Heritage Blvd, Unit 202, Bradenton, FL 34212-6348 |
| Tracy B Gapin | Urology | 21st Century Oncology, LLC | 1040 River Heritage Blvd, Unit 202, Bradenton, FL 34212-6348 |
| Andrzej Kucharski | Family Medicine | Smh Physician Services Inc | 1040 River Heritage Blvd, Unit 204, Bradenton, FL 34212-6348 |
| Karen Bigby | Family Medicine | Smh Physician Services Inc | 1040 River Heritage Blvd, Unit 204, Bradenton, FL 34212-6348 |
| Find all physicians in zip 34212 | |||
| City | BRADENTON |
| Zip Code | 34212 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | BRADENTON + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on John Thomas Super.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.