Superior Medicine Group LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SUPERIOR MEDICINE GROUP LLC

Practice address

6621 Westbank Expy
Marrero, LA 70072-2669

Phone

(504) 495-3572

NPI assigned

Nov 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Andre Tilton, M.D.NPI 1306165097

Title

Partner/ Owner

Phone

(504) 495-3572

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Westbank Medical & Walk-in Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Andre Dominick Tilton, MD

  • Family Medicine Physician
  • New Orleans, LA
  • NPI 1306165097
  Medicare reassignment Care Compare group Authorized official
• Vu Minh Mai, M.D.

  • Family Medicine Physician
  • Marrero, LA
  • NPI 1497086755
  Medicare reassignment Care Compare group
• Jason Robert Deleon, M.D.

  • Family Medicine Physician
  • New Orleans, LA
  • NPI 1497073787
  Medicare reassignment

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1922437441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 WESTBANK EXPY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 WESTBANK EXPY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722669",
            "telephone_number": "504-495-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MEDICINE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "TILTON",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "PARTNER/ OWNER",
        "authorized_official_telephone_number": "504-495-3572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111906",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westbank Medical & Walk-in Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Stuart, MCD
• Marc Stylman, PA-C
• Holly M Sullivan
• Sandra Exnicious Sumler, MSW
• Vicki Summerville
• Surgical Clinic of Louisiana LLC
• Surgical Specialty Associates LLC
• Myliah O Surratt
• Jesse Dean Sutton, L.C.S.W.
• Kellee R. Swider, P.A.

• Primary Care Clinic/Center in Marrero, LA
• Providers in Marrero, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.