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

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SUPERIOR ENT Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Joseph Heichel, M.D.

  • Otolaryngology Physician
  • Marquette, MI
  • NPI 1629010343
  Medicare reassignment NPD Authorized official
• Philip David Heichel, M.D.

  • Otolaryngology Physician
  • Marquette, MI
  • NPI 1790132504
  Medicare reassignment NPD
• Anthony Joseph Jurecic, NP-C

  • Acute Care Nurse Practitioner
  • Marquette, MI
  • NPI 1730712969
  Medicare reassignment NPD
• Jacob Sommers

  • Audiologist
  • Tyler, TX
  • NPI 1871152223

  MI

  Medicare reassignment NPD
• Jackie Ann-Mummert Gilbert, M.S.

  • Audiologist
  • Marquette, MI
  • NPI 1285789933
  Medicare reassignment
• Christopher Paul Lunseth, PA-C

  • Physician Assistant
  • Marquette, MI
  • NPI 1730299371
  Medicare reassignment

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4865320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0405210741",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPERIOR ENT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SUPERIOR ENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Georgia A Summers, NP
• Sundara NPHC
• Superior Alliance for Independent Living
• Superior Ear Nose Throat - Audiology & Allergy PC
• Superior Ear, Nose & Throat Specialists, PC
• Superior Family Chiropractic and Wellness Center
• Superior Hearing Aid Center, Inc.
• Superior Imaging Specialists, PC
• Superior Paradigm Solutions
• Superior Pharmacy Services, LLC

• Otolaryngology Physician in Marquette, MI
• Providers in Marquette, MI by specialty
• Otolaryngology Physician in Michigan

• 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.