SUPERIOR HEALTHCARE PHYSICAL MEDICINE (NPI# 1770921322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770921322 |
| Entity Type | Organization |
| Organization Name | SUPERIOR HEALTHCARE PHYSICAL MEDICINE |
| Practice Address |
3519 Witherspoon Blvd Suite 104 Durham NC 27707-6844 |
| Practice Telephone | 9194011999 |
| Practice Fax Number | 9194011998 |
| Mailing Telephone | 9194011999 |
| Mailing Fax Number | 9194011998 |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2014-01-10 |
| Authorized Official Name | VENUS I PITTS (OWNER) |
| Authorized Official Telephone | 9194011999 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
3519 WITHERSPOON BLVD SUITE 104 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-6844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154696805 | Jennifer Carson | Chiropractor | 3519 Witherspoon Blvd, Suite 104, Durham, NC 27707-6844 | 2012-03-14 |
| 1750635710 | Tracy Bennett Mcleod | Registered Nurse | 3519 Witherspoon Blvd, Suite 104, Durham, NC 27707-6844 | 2012-10-30 |
| 1831448257 | Jeffrey Glen Hedges | Chiropractor | 3519 Witherspoon Blvd, Suite 104, Durham, NC 27707-6844 | 2012-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225864 | Tommy Mcneill | Durable Medical Equipment & Medical Supplies | 3602 Laurel Creek Way, Durham, NC 27712-2982 | 2020-11-08 |
| 1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
| 1881226751 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 105 W Nc Highway 54 Ste 267, Durham, NC 27713-6648 | 2020-02-10 |
| 1699288126 | Dlp Person Urgent Care LLC | Durable Medical Equipment & Medical Supplies | 3200 Croasdaile Dr Ste 405, Durham, NC 27705-2594 | 2017-11-07 |
| 1194244095 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3725 Wake Forest Rd, Durham, NC 27703-3634 | 2017-09-12 |
| 1023535564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3725 Wake Forest Hwy, Durham, NC 27703 | 2017-08-25 |
| 1962942326 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 10440 Glenwood, Durham, NC 27617 | 2017-03-06 |
| 1356886030 | Rgh Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4234 Surles Court, Suite 100, Durham, NC 27703 | 2017-01-04 |
| 1235524299 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 Sherron Rd, Durham, NC 27703-9508 | 2015-04-06 |
| 1114328739 | Josefs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3421 N Roxboro St, Durham, NC 27704-3257 | 2014-09-15 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.