SUPERIOR MEDICAL CENTER LLC – NPI #1780351791
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

SUPERIOR MEDICAL CENTER LLC is a provider located in MOUNT PLEASANT, WI. NPPES has assigned the NPI number 1780351791 to SUPERIOR MEDICAL CENTER LLC on August 26, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 3 years ago on Jul 13, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUPERIOR MEDICAL CENTER LLC below.

NPI Profile for
SUPERIOR MEDICAL CENTER LLC

NPI Number
1780351791
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUPERIOR MEDICAL CENTER LLC
Primary location
5439 DURAND AVE STE 100
MOUNT PLEASANT, WI 53406-5058
Phone: (262) 676-2794 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JONATHAN SAIGH
MANAGING PARTNER
Phone: (262) 676-2794
Updated
Certification Date
Jul 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.