Superior Med LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SUPERIOR MED LLC

Practice address

10095 Brick Church Rd
Cambridge, OH 43725-8550

Phone

(740) 435-4022

Fax

(740) 435-4028

NPI assigned

May 16, 2006

Last updated

Dec 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tom Jevas

Title

Practice Administrator

Phone

(740) 435-2404

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ohiohealth Corporation

  dba Doctors Hospital

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1972535052

  Member Of

  NPD member

Locations

Practitioners 24

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.

• Candice Dawn Critser, MSN, APRN, NP-C

  • Nurse Practitioner
  • Cambridge, OH
  • NPI 1568868073
  NPD
• Carrie Davis, CNP, MSN

  • Family Nurse Practitioner
  • Cambridge, OH
  • NPI 1194046979
  NPD
• Joseph Frederick Davis, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Cambridge, OH
  • NPI 1649235656
  NPD
• Michael Ryan Douglas Farrell, M.D.

  • Urology Physician
  • Columbus, OH
  • NPI 1023499415
  NPD
• Eric Jacob Fichtenbaum, M.D.

  • Urology Physician
  • Columbus, OH
  • NPI 1073932091
  NPD
• Clarice Rebecca Hall, FNP-BC

  • Family Nurse Practitioner
  • Caldwell, OH
  • NPI 1801060892
  NPD
• Robert Stephen Huff, D.O.

  • Family Medicine Physician
  • Zanesville, OH
  • NPI 1568779924
  NPD
• Joshua D Knott, MA, ATC

  • Athletic Trainer
  • Zanesville, OH
  • NPI 1780647370
  NPD
• Karl William Kumler III, M.D.

  • Orthopaedic Surgery Physician
  • Cambridge, OH
  • NPI 1558344374
  NPD
• Eyad Mahayri, M.D.

  • Pulmonary Disease Physician
  • Cambridge, OH
  • NPI 1316999477
  NPD
• Stephanie Ann McCurdy, FNP

  • Family Nurse Practitioner
  • Cambridge, OH
  • NPI 1316511082
  NPD
• Melissa Ann Nau, M.D.

  • Family Medicine Physician
  • Cambridge, OH
  • NPI 1487606588
  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1225080591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259612",
            "telephone_number": "740-439-0733",
            "fax_number": "740-439-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10095 BRICK CHURCH RD",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437258550",
            "telephone_number": "740-435-4022",
            "fax_number": "740-435-4028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Clark St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437259614",
            "country_code": "US",
            "telephone_number": "740-439-0733 x4403",
            "fax_number": "740-439-8996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1335 Clark St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437259614",
            "country_code": "US",
            "telephone_number": "740-432-2144",
            "fax_number": "740-439-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Clark St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437259611",
            "country_code": "US",
            "telephone_number": "740-439-8839",
            "fax_number": "740-439-8997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 Neal Dr",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437251143",
            "country_code": "US",
            "telephone_number": "740-435-2350",
            "fax_number": "740-439-4357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 Clark St Ste A",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437259611",
            "country_code": "US",
            "telephone_number": "740-435-2340",
            "fax_number": "740-432-5439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Clark St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437259617",
            "country_code": "US",
            "telephone_number": "740-435-4020",
            "fax_number": "740-435-4029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 Clark St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437259611",
            "country_code": "US",
            "telephone_number": "740-435-2468",
            "fax_number": "740-439-3299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18125 Woodsield Road",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "OH",
            "postal_code": "43724",
            "country_code": "US",
            "telephone_number": "740-732-7259",
            "fax_number": "740-732-7360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10095 Brick Church Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437258551",
            "country_code": "US",
            "telephone_number": "740-439-8886",
            "fax_number": "740-439-8887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10095 Brick Church Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437258551",
            "country_code": "US",
            "telephone_number": "740-439-3338",
            "fax_number": "740-439-4970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 Clark St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437259612",
            "country_code": "US",
            "telephone_number": "740-439-0733 x4403",
            "fax_number": "740-439-8996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPERIOR MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "JEVAS",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "740-435-2404"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0915013",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "practice@superiormed.medentdirect.com",
            "affiliation": "N",
            "address_1": "1251 Clark St",
            "city": "Cambridge",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437259612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karri Lee Stover, LPN
• Marisa M Streiff
• Jason L Stringer, DO
• David William Suitt, D.D.S.
• Kristen Raye Summers, M. A., CFY-SLP
• Linda Suzanna Swallie, CRNP, MSN
• Jessica Lynn Swords, DVM
• Boguslaw Mark Szynal Jr.
• Nicholas Matthew Taflan II, O.D.
• Jerri Lynn Tanner, AAS, QMHS

• General Practice Physician in Cambridge, OH
• Providers in Cambridge, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.