Active NPI
Mark B Superstein, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Manchester, TN
National Provider Identifier
1922009216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 246
- Practice address
- 108 N Spring St
Manchester, TN 37355-1563 - Phone
- (931) 728-3988
- Fax
- (931) 728-6530
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 246 | TN | Primary |
Addresses
Primary practice location
108 N Spring St
Manchester, TN 37355-1563
Mailing address
108 N Spring St
Manchester, TN 37355-1563
Phone (931) 728-3988
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5097239 | Other | TN | CIGNA |
| 3351041 | Medicaid | TN | |
| 48499 | Other | TN | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1922009216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 N SPRING ST",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373551563",
"telephone_number": "931-728-3988",
"fax_number": "931-728-6530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 N SPRING ST",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373551563",
"telephone_number": "931-728-3988",
"fax_number": "931-728-6530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUPERSTEIN",
"first_name": "MARK",
"middle_name": "B",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TN",
"license": "246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5097239",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3351041",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "48499",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, TN
- Zsarel Stepp
- Isaac H Stovall, M D
- Amy Sullivan
- Suncrest Companion Services, LLC (SunCrest Companion Services of Manchester)
- Suncrest Home Health of Manchester, Inc. (Beacon Home Health)
- Gretchen Ann Sussen, PTA
- Leif Sven Swanson, D.D.S
- Rebecca Diane Swiger, DNP-FNP-C
- Dionne Swink, MA
- Herschel Stephan Taylor, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.