Superior Medical Clinics LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

HCC7887 Issued in FL

Legal business name

SUPERIOR MEDICAL CLINICS LLC

Doing business as

Genesis Medical Clinic
Physical Therapy Now Of Temple Terrace

Practice address

9780 N 56TH St Ste C
Temple Terrace, FL 33617-5546

Phone

(813) 549-7465

Fax

(813) 549-7399

NPI assigned

Jan 3, 2008

Last updated

Apr 4, 2024By 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

Mr. Ike C Okeke, RPHNPI 1043411515

Title

Director

Phone

(813) 549-7460

Specialties & licenses 1

Addresses

Other names 2

• Genesis Medical Clinic Doing business as
• Physical Therapy Now Of Temple Terrace Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 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

Locations

Practitioners 9

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.

• Syed S Hasan, M.D.

  • Internal Medicine Physician
  • Spring Hill, FL
  • NPI 1790895035
  Medicare reassignment NPD
• Hardeep Kumar, PT

  • Physical Therapist
  • Clearwater, FL
  • NPI 1609360189
  Medicare reassignment NPD
• Sergey P Litvinov, M.D.

  • Psychiatry Physician
  • West Palm Beach, FL
  • NPI 1669633129
  Medicare reassignment NPD
• Michael Ositadinma Okeke, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winter Haven, FL
  • NPI 1114569811
  Medicare reassignment NPD
• Ruchi Panara

  • Physical Therapist
  • Tampa, FL
  • NPI 1629601885
  Medicare reassignment NPD
• Ike Okeke

  • Pharmacist
  • Tampa, FL
  • NPI 1043411515
  NPD Authorized official
• Mary Patricia Rosario, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Temple Terrace, FL
  • NPI 1518367903

  Multi-Specialty

  NPD
• Syed Tanveer Al-Hassan, M.D.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1679753909
  NPD (past)
• Queenate Okpaleke, ARNP

  • Family Nurse Practitioner
  • Temple Terrace, FL
  • NPI 1588071567
  NPD (past)

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1700061223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 N 56TH ST # C",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175508",
            "telephone_number": "813-549-7465",
            "fax_number": "813-549-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 N 56TH ST STE C",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175546",
            "telephone_number": "813-549-7465",
            "fax_number": "813-549-7399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9780 N 56th St # C",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336175508",
            "country_code": "US",
            "telephone_number": "813-549-7465",
            "fax_number": "813-549-7399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPERIOR MEDICAL CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "IKE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-549-7460",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC7887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physical Therapy Now Of Temple Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aman Sunderji, DO
• Catherine Alexandra Sundloff, PA-C
• John Sundquist, DPT
• Sunshine Injury Healing Center
• Superior Homehealth LLC
• Superior Pharmacy of Temple Terrace
• Superior Pharmacy of Temple Terrace LLC (Temple Terrace Pharmacy LTC)
• Superior Pharmacy of Temple Terrace LLC (Temple Terrace Pharmacy)
• Superior Pharmacy of Temple Terrace, LLC (Temple Terrace Pharmacy)
• Superior Physician Group

• Multi-Specialty Clinic/Center in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.