Superior Family Medical Associates, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

JP04613 Issued in MI

Legal business name

SUPERIOR FAMILY MEDICAL ASSOCIATES, PC

Practice address

550 Osborn Blvd
Suite 101
Sault Sainte Marie, MI 49783-1899

Phone

(906) 632-0370

Fax

(906) 632-2081

NPI assigned

Aug 11, 2006

Last updated

Feb 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Pahn, RN

Title

Administrator

Phone

(906) 632-0370

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1902817984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 OSBORN BLVD",
            "address_2": "SUITE 101",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831899",
            "telephone_number": "906-632-0370",
            "fax_number": "906-632-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 OSBORN BLVD",
            "address_2": "SUITE 101",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831899",
            "telephone_number": "906-632-0370",
            "fax_number": "906-632-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR FAMILY MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "PAHN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "906-632-0370",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "JP04613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114539",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lowell Lamar Styer, M.D.
• Sydney Suchey, DDS
• Robert Kenneth Sullivan
• Superior Audiology, LLC
• Superior Family Medical Associates
• Superior Health Support System (Hearthside Assisted Living)
• Superior Performance, P.C.
• Kevin Surrey
• Joseph D. Susi II, MS, ATC
• Kelsey Nicole Swigert

• Family Medicine Physician in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, 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 Feb 22, 2008; 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.