Superior Health Care of CT, LLC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

45196 Issued in CT

Legal business name

SUPERIOR HEALTH CARE OF CT, LLC

Practice address

444 Wolcott Rd
Wolcott, CT 06716-2639

Phone

(203) 879-4695

Fax

(203) 879-4696

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Paul Michael Didomizio, D.C.NPI 1033132386

Title

Member

Phone

(203) 879-4685

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Michael Didomizio, DC

  • Chiropractor
  • Wolcott, CT
  • NPI 1033132386
  Medicare reassignment Care Compare group NPD Authorized official
• Cathy C Lanoie, NP

  • Adult Health Nurse Practitioner
  • Wolcott, CT
  • NPI 1285969857
  Medicare reassignment Care Compare group NPD
• Mary Ann Fieffer, APRN, RN

  • Family Nurse Practitioner
  • New Haven, CT
  • NPI 1932147675
  Medicare reassignment NPD
• Lisa A Burk, APRN

  • Adult Health Nurse Practitioner
  • Conway, SC
  • NPI 1902275480

  CT

  Medicare reassignment NPD
• Robert Gardner, LMT

  • Massage Therapist
  • Wolcott, CT
  • NPI 1689285942
  NPD
• Tracey Jenine Schippani, P.T.

  • Physical Therapist
  • Wolcott, CT
  • NPI 1205032380
  NPD (past)

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1366981128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 WOLCOTT RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162639",
            "telephone_number": "203-879-4695",
            "fax_number": "203-879-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 WOLCOTT RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162639",
            "telephone_number": "203-879-4695",
            "fax_number": "203-879-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTH CARE OF CT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "DIDOMIZIO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-879-4685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "45196",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "006279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monika Smielewska, D.M.D.
• Lorna Stamat
• Jenna Sue Stanish
• Shivanna Subramani Gonzalez, DNP
• David M Suhocki, PA
• Michael F Swierczynski, D.C.
• Taylor Nicole Tardif
• The Modern Woman Health & Wellness Center PLLC
• Cynthia Lynn Thibodeau, M.S.,CCC-SLP
• Christine M Thorn, D.C.

• Critical Care Medicine (Internal Medicine) Physician in Wolcott, CT
• Providers in Wolcott, CT by specialty
• Critical Care Medicine (Internal Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.