Organization Active NPI

Superior Audiology, LLC

  • Audiologist
  • Sault Sainte Marie, MI
National Provider Identifier
1922570381
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
SUPERIOR AUDIOLOGY, LLC
Practice address
333 Magazine St Ste 103
Sault Sainte Marie, MI 49783-1867
Phone
(906) 440-7929
NPI assigned
Dec 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Carolyn SchneiderNPI 1235252610
Title
Co-Owner
Phone
(906) 259-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

333 Magazine St Ste 103
Sault Sainte Marie, MI 49783-1867

Mailing address

510 Saint James PL
Sault Sainte Marie, MI 49783-2133
Phone (906) 440-7929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190117002356 MI Part B Supplier - Clinic/Group Practice 3375889975 Receives reassigned benefits from 3 practitioners
Practice locations: Manistique, MI; Newberry, MI; Sault Sainte Marie, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1922570381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SAINT JAMES PL",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832133",
            "telephone_number": "906-440-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAGAZINE ST STE 103",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831867",
            "telephone_number": "906-440-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "906-259-7000"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.