Organization Active NPI

Superior Orthopedics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1215939657
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUPERIOR ORTHOPEDICS, INC.
Practice address
680 N Lake Shore Dr
Suite 1207
Chicago, IL 60611-4546
Phone
(312) 943-0386
NPI assigned
Aug 15, 2005
Organization subpart
Yes
Parent organization
SUPERIOR ORTHOPEDICS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Anthony E Schaefer, CO
Title
President
Phone
(312) 943-0386

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

680 N Lake Shore Dr
Suite 1207
Chicago, IL 60611-4546

Mailing address

680 N Lake Shore Dr
Suite 1207
Chicago, IL 60611-4546
Phone (312) 943-0386

National Provider Directory

National Provider Directory
Part of
Superior Orthopedic App L

Locations

680 N Lake Shore Dr
Ste 1207
Chicago, IL 60611
Phone (312) 943-0386

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1215939657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "SUITE 1207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-943-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "SUITE 1207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-943-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR ORTHOPEDICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUPERIOR ORTHOPEDICS INC",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-943-0386",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.