Organization Active NPI

Superior Healthcare Physical Medicine

  • Durable Medical Equipment & Medical Supplies
  • Durham, NC
National Provider Identifier
1770921322
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUPERIOR HEALTHCARE PHYSICAL MEDICINE
Practice address
3519 Witherspoon Blvd
Suite 104
Durham, NC 27707-6844
Phone
(919) 401-1999
Fax
(919) 401-1998
NPI assigned
Jun 5, 2013
Last updated
Jan 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Venus I Pitts, MD
Title
Owner
Phone
(919) 401-1999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

3519 Witherspoon Blvd
Suite 104
Durham, NC 27707-6844

Mailing address

3519 Witherspoon Blvd
Suite 104
Durham, NC 27707-6844
Phone (919) 401-1999

National Provider Directory

National Provider Directory

Locations

3519 Witherspoon Blvd
Ste 104
Durham, NC 27707
Phone (919) 401-1999

Practitioners & affiliated clinicians

Practitioners 1

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": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1770921322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 WITHERSPOON BLVD",
            "address_2": "SUITE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076844",
            "telephone_number": "919-401-1999",
            "fax_number": "919-401-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 WITHERSPOON BLVD",
            "address_2": "SUITE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076844",
            "telephone_number": "919-401-1999",
            "fax_number": "919-401-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTHCARE PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "VENUS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-401-1999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.