Organization Active NPI

Superior Medical Center LLC

  • General Practice Physician
  • Mount Pleasant, WI
National Provider Identifier
1780351791
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SUPERIOR MEDICAL CENTER LLC
Practice address
5439 Durand Ave Ste 100
Mount Pleasant, WI 53406-5058
Phone
(262) 676-2794
NPI assigned
Aug 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Jonathan Saigh
Title
Managing Partner
Phone
(262) 676-2794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5439 Durand Ave Ste 100
Mount Pleasant, WI 53406-5058

Mailing address

5439 Durand Ave Ste 100
Mount Pleasant, WI 53406-5058
Phone (262) 676-2794

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1780351791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 DURAND AVE STE 100",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534065058",
            "telephone_number": "262-676-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 DURAND AVE STE 100",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534065058",
            "telephone_number": "262-676-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "SAIGH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "262-676-2794"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.