Superior Imaging Specialists, PC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

4301052676 Issued in MI

Legal business name

SUPERIOR IMAGING SPECIALISTS, PC

Practice address

580 W College Ave
Marquette, MI 49855-2705

Phone

(906) 225-7808

Fax

(906) 225-7818

NPI assigned

Nov 29, 2005

Organization subpart

No

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

Authorized official

Name

Christopher Mehall, M.D.NPI 1164405635

Title

President

Phone

(906) 225-7808

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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

• Christopher J Mehall, MD

  • Vascular & Interventional Radiology Physician
  • Marquette, MI
  • NPI 1164405635
  Medicare reassignment NPD Authorized official
• Michael V. Ouimette, M.D.

  • Diagnostic Radiology Physician
  • Marquette, MI
  • NPI 1114960903
  Medicare reassignment NPD
• Melissa T Hendrickson, PA

  • Physician Assistant
  • Marquette, MI
  • NPI 1972823110
  Medicare reassignment
• Charlene J Sweeney, M.D.

  • Neurology Physician
  • Saint Ignace, MI
  • NPI 1700866415
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1467435941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 US 41 WEST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-3964",
            "fax_number": "906-226-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W COLLEGE AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552705",
            "telephone_number": "906-225-7808",
            "fax_number": "906-225-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR IMAGING SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "MEHALL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-225-7808",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301052676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104968541",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "310E210240",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104352558",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104968532",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Superior Ear Nose Throat - Audiology & Allergy PC
• Superior Ear, Nose & Throat Specialists, PC
• Superior Ear, Nose & Throat Specialists. P.C.
• Superior Family Chiropractic and Wellness Center
• Superior Hearing Aid Center, Inc.
• Superior Paradigm Solutions
• Superior Pharmacy Services, LLC
• Superior Rehabilitation & Professional Services, LLC
• Superior Sober House
• Superior Vitality LLC

• Vascular & Interventional Radiology Physician in Marquette, MI
• Providers in Marquette, MI by specialty
• Vascular & Interventional Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.