NPIMap

Organization Active NPI

Superior Healthcare, LLC

  • General Practice Physician
  • Metairie, LA
National Provider Identifier
1700010600
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
025275 Issued in LA
Legal business name
SUPERIOR HEALTHCARE, LLC
Practice address
3501 Severn Ave
Suite 8
Metairie, LA 70002-3451
Phone
(504) 835-0565
Fax
(504) 835-0985
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Mrs. Elizabeth Ann Spadafora, DC
Title
President
Phone
(504) 835-0565

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 1412 LA
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 1395 LA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 025275 LA Primary

Addresses

Primary practice location

3501 Severn Ave
Suite 8
Metairie, LA 70002-3451

Mailing address

3501 Severn Ave
Suite 8
Metairie, LA 70002-3451
Phone (504) 835-0565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110713000878 LA Part B Supplier - Clinic/Group Practice 5496946121 Receives reassigned benefits from 10 practitioners
Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Locations

3501 Severn Ave
Ste 8
Metairie, LA 70002
Phone (504) 835-0565

Practitioners & affiliated clinicians

Practitioners 12

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": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1700010600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SEVERN AVE",
            "address_2": "SUITE 8",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023451",
            "telephone_number": "504-835-0565",
            "fax_number": "504-835-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SEVERN AVE",
            "address_2": "SUITE 8",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023451",
            "telephone_number": "504-835-0565",
            "fax_number": "504-835-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "SPADAFORA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-835-0565",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "LA",
            "license": "1412",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "LA",
            "license": "1395",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "LA",
            "license": "025275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.