Superior Prosthetics and Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO01440 Issued in DE

Legal business name

SUPERIOR PROSTHETICS AND ORTHOTICS

Practice address

20075 Third Street
Hancock, MI 49930

Phone

(906) 523-5896

Fax

(906) 523-5897

NPI assigned

Feb 24, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Lee Penfold, CPO

Title

President

Phone

(906) 231-2212

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1831581164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20075 THIRD STREET",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "49930",
            "telephone_number": "906-523-5896",
            "fax_number": "906-523-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20075 THIRD STREET",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "49930",
            "telephone_number": "906-523-5896",
            "fax_number": "906-523-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PROSTHETICS AND ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "PENFOLD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-231-2212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": "CPO01440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew St. Louis, ATC
• Suzan Marie Stacknik, D.D.S., M.S.
• Lloyd M Starks, MT
• Amelia Stefanac
• Maria Kristiin Sturos, P.T.A.
• Superior Smiles
• Superior View Radiology PLC
• Nancy K Taglione, LMSW
• Jodi Lynn Tervo, PTA
• Ndiaga Thiam

• Prosthetic/Orthotic Supplier in Hancock, MI
• Providers in Hancock, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.