Organization Active NPI

Superior View Radiology PLC

  • Diagnostic Radiology Physician
  • Hancock, MI
National Provider Identifier
1144303710
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Apr 12, 2022

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4464170MedicaidMI
4833513MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.