Superior Family Medical Associates

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SUPERIOR FAMILY MEDICAL ASSOCIATES

Practice address

550 Osborn Blvd
Sault Sainte Marie, MI 49783-1899

Phone

(906) 632-0370

Fax

(906) 632-6373

NPI assigned

Mar 6, 2012

Organization subpart

No

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

Authorized official

Name

Jaak Mart Pahn, MD

Title

Director

Phone

(906) 632-0370

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kari Lyn Willson, CFNP

  • Nurse Practitioner
  • Sault Sainte Marie, MI
  • NPI 1336272251
  NPD (past)
• Catherine Worden

  • Family Nurse Practitioner
  • Pickford, MI
  • NPI 1306964721
  NPD (past)

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1861766065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 OSBORN BLVD",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831899",
            "telephone_number": "906-632-0370",
            "fax_number": "906-632-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 OSBORN BLVD",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831899",
            "telephone_number": "906-632-0370",
            "fax_number": "906-632-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR FAMILY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "PAHN",
        "authorized_official_first_name": "JAAK",
        "authorized_official_middle_name": "MART",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "906-632-0370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114539",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GROUP PIN",
            "identifier": "OA71078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline A Streeterbernard
• Lowell Lamar Styer, M.D.
• Sydney Suchey, DDS
• Robert Kenneth Sullivan
• Superior Audiology, LLC
• Superior Family Medical Associates, PC
• Superior Health Support System
• Superior Performance, P.C.
• Kevin Surrey
• Joseph D. Susi II, MS, ATC

• Primary Care Clinic/Center in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.