NPIMap

Organization Active NPI

Superior Medical Group LLC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1831686229
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11549 Issued in NV
Legal business name
SUPERIOR MEDICAL GROUP LLC
Practice address
6850 N Durango Dr Ste 211
Las Vegas, NV 89149-4597
Phone
(702) 643-0740
Fax
(888) 291-5713
NPI assigned
Apr 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Dr. Jang Suk Mun, MD
Title
Physician
Phone
(702) 643-0740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 11549 NV Primary

Addresses

Primary practice location

6850 N Durango Dr Ste 211
Las Vegas, NV 89149-4597

Mailing address

6850 N Durango Dr Ste 211
Las Vegas, NV 89149-4597
Phone (702) 643-0740

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1831686229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494597",
            "telephone_number": "702-643-0740",
            "fax_number": "888-291-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494597",
            "telephone_number": "702-643-0740",
            "fax_number": "888-291-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "MUN",
        "authorized_official_first_name": "JANG",
        "authorized_official_middle_name": "SUK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-643-0740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.