Organization Active NPI

Superior Ear, Nose & Throat Specialists. P.C.

  • Otolaryngology Physician
  • Marquette, MI
National Provider Identifier
1114077641
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
SUPERIOR EAR, NOSE & THROAT SPECIALISTS. P.C.
Practice address
712 Chippewa SQ Ste 130
Marquette, MI 49855-4827
Phone
(906) 225-7660
Fax
(906) 225-7665
NPI assigned
Jan 10, 2007
Last updated
Dec 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Dr. David J Heichel, M.D.NPI 1629010343
Title
President
Phone
(906) 225-7660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

712 Chippewa SQ Ste 130
Marquette, MI 49855-4827

Mailing address

712 Chippewa SQ Ste 130
Marquette, MI 49855-4827
Phone (906) 225-7660

Other practice location 1

1414 W Fair Ave
Suite 130
Marquette, MI 49855-2675
Phone (906) 225-7660

Other names 1

  • SUPERIOR ENT Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060118001013 MI Part B Supplier - Clinic/Group Practice 4385668219 Receives reassigned benefits from 6 practitioners
Practice locations: Marquette, MI

National Provider Directory

National Provider Directory

Locations

901 Lakeshore Dr
Ste 102
Ishpeming, MI 49849
Phone (906) 485-2680

712 Chippewa Sq
Ste 130
Marquette, MI 49855
Phone (906) 225-7660

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1114077641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 CHIPPEWA SQ STE 130",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554827",
            "telephone_number": "906-225-7660",
            "fax_number": "906-225-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 CHIPPEWA SQ STE 130",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554827",
            "telephone_number": "906-225-7660",
            "fax_number": "906-225-7665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 W Fair Ave",
            "address_2": "SUITE 130",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498552675",
            "country_code": "US",
            "telephone_number": "906-225-7660",
            "fax_number": "906-225-7665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPERIOR EAR, NOSE & THROAT SPECIALISTS. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "HEICHEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-225-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPERIOR ENT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SUPERIOR ENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.