Superior Family Medicine Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUPERIOR FAMILY MEDICINE CLINIC PC

Practice address

23077 Greenfield Rd Ste 489
Southfield, MI 48075-3740

Phone

(248) 395-6312

Fax

(248) 395-6314

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

Jira G Coumarbatch, MD

Title

Owner

Phone

(313) 247-7270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861728362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47068",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482374768",
            "telephone_number": "313-247-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 489",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753740",
            "telephone_number": "248-395-6312",
            "fax_number": "248-395-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR FAMILY MEDICINE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COUMARBATCH",
        "authorized_official_first_name": "JIRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-247-7270",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert Scott Super, DC
• Superior Care Medical Services PLLC
• Superior Diagnostics, Inc.
• Superior Health Services, LLC
• Superior Health Services, LLC
• Superior Interventional Pain Plus PLLC
• Superior Physical Therapy
• Felixa Supit, NP

• Family Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.