Active NPI
Superior View Radiology PLC
- Diagnostic Radiology Physician
- Hancock, MI
National Provider Identifier
1144303710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SUPERIOR VIEW RADIOLOGY PLC
- Practice address
- 500 Campus Dr
Hancock, MI 49930-1452 - Phone
- (906) 225-0122
- Fax
- (906) 225-0135
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul A Lyle, M.D.
- Title
- President/Radiologist
- Phone
- (906) 225-0122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
500 Campus Dr
Hancock, MI 49930-1452
Mailing address
308 Cleveland Ave Ste 202
Ishpeming, MI 49849-1837
Phone (906) 204-2407
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4464170 | Medicaid | MI | |
| 4833513 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
1414 W Fair Ave
Ste 122
Marquette, MI 49855
Phone (906) 225-3945
710 Chippewa Sq
Marquette, MI 49855
Phone (906) 226-2569
710 Chippewa Sq
Ste 101
Marquette, MI 49855
Phone (906) 225-0122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649721600000",
"number": "1144303710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 CLEVELAND AVE STE 202",
"city": "ISHPEMING",
"state": "MI",
"postal_code": "498491837",
"telephone_number": "906-204-2407",
"fax_number": "906-225-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CAMPUS DR",
"city": "HANCOCK",
"state": "MI",
"postal_code": "499301452",
"telephone_number": "906-225-0122",
"fax_number": "906-225-0135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR VIEW RADIOLOGY PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A",
"authorized_official_last_name": "LYLE",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/RADIOLOGIST",
"authorized_official_telephone_number": "906-225-0122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4464170",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4833513",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hancock, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.