Organization Active NPI

Superior Physician Services PLLC

Doing business as Go Docs Go

  • Family Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1194002824
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUPERIOR PHYSICIAN SERVICES PLLC
Doing business as
Go Docs Go
Practice address
315 E Eisenhower Pkwy Ste 7
Ann Arbor, MI 48108-3329
Phone
(617) 447-4403
NPI assigned
Nov 9, 2011
Last updated
Apr 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Dr. Raymond Hansen, M.D.
Title
Owner
Phone
(517) 881-4018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

315 E Eisenhower Pkwy Ste 7
Ann Arbor, MI 48108-3329

Mailing address

315 E Eisenhower Pkwy Ste 7
Ann Arbor, MI 48108-3329
Phone (617) 447-4403

Other names 1

  • Go Docs Go Doing business as

National Provider Directory

National Provider Directory

Locations

9785 Crosspoint Blvd
Ste 105
Indianapolis, IN 46256
Phone (317) 841-9800

315 E Eisenhower Pkwy
Ste 7
Ann Arbor, MI 48108
Phone (617) 447-4403

Practitioners & affiliated clinicians

Practitioners 1

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": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1194002824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E EISENHOWER PKWY STE 7",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083329",
            "telephone_number": "617-447-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E EISENHOWER PKWY STE 7",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083329",
            "telephone_number": "617-447-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHYSICIAN SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-881-4018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Go Docs Go",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.