Up Superior Enterprises, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

UP SUPERIOR ENTERPRISES, INC

Doing business as

Prescription Oxygen Service

Practice address

13534 State Highway 28
Newberry, MI 49868

Phone

(906) 293-3556

Fax

(906) 293-8945

NPI assigned

Dec 3, 2008

Last updated

Dec 3, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald Anthony Gordon

Title

President

Phone

(906) 632-2772

Specialties & licenses 1

Addresses

Other names 1

• Prescription Oxygen Service Doing business as

Tax ID family

Up Superior Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Up Superior Enterprises Inc

  • Oxygen Equipment & Supplies (DME)
  • Sault Sainte Marie, MI
  • NPI 1275740318
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1063657286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 I-75 BUSINESS SPUR",
            "city": "SAULT STE. MARIE",
            "state": "MI",
            "postal_code": "49783",
            "telephone_number": "906-632-3772",
            "fax_number": "906-632-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13534 STATE HIGHWAY 28",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "49868",
            "telephone_number": "906-293-3556",
            "fax_number": "906-293-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP SUPERIOR ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-632-2772"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Oxygen Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Clement Terrian, M.D.
• Lisa Marie Tetzlaff, FNP-C
• Heather Thornton, LLMSW
• Alan Robert Tokar, DDS
• Cheryl Tryon
• Stephanie Vickers
• Steven A Vix, MD
• Berneta K Volz, LBSW
• Jonathan Michael Webb, DO
• Thomas Mark Whiting, L.M.S.W.

• Oxygen Equipment & Supplies (DME) in Newberry, MI
• Providers in Newberry, MI by specialty
• Oxygen Equipment & Supplies (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.