SUPERIOR CLINIC
NPI 1427110824
Clinic/Center - Multi-Specialty in Superior, WI

NPI Status: Active since December 14, 2006

Contact Information

3500 TOWER AVE
SUPERIOR, WI
ZIP 54880
Phone: (715) 395-5454

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About SUPERIOR CLINIC

This page provides the complete NPI Profile along with additional information for Superior Clinic, a provider established in Superior, Wisconsin operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1427110824 assigned on December 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Superior Clinic. The authorized official of this NPI record is John Smylie (Ex. Vp & Sr Officer Dc Operations)

NPI
1427110824
Provider Legal Name
THE DULUTH CLINIC, LTD
Other Organization Name
SUPERIOR CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3500 TOWER AVE SUPERIOR, WI 54880
Location Phone
(715) 395-5454
Mailing Address
3500 TOWER AVE SUPERIOR, WI 54880
Mailing Phone
(715) 395-5454
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2006
Last Update Date
08-22-2020
Code Navigator



Superior Clinic is a medicare supplier with PTAN 20346935 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN SMYLIE

Authorized Official Title
EX. VP & SR OFFICER DC OPERATIONS
Authorized Official Phone
(218) 786-2625

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20346935
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Reviews for SUPERIOR CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427110824
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
244721084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 2 + 1 + 0 + 8 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1427110824 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801872080 VICKI BRADY APRN
Individual
Nurse Practitioner (Family)3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5454
1245203124 ROBERT U OKORO MBBS
Individual
Emergency Medicine3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5400
1255306858 DANIEL CABOT DO
Individual
Family Medicine3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5454
1346295540 DARRELL EUGENE BARNACK LICSW
Individual
Social Worker3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5454
1942240577 GEORGE F HOLLIDAY
Individual
Internal Medicine3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5454
1770525347 TODD HAMILTON HNATKO
Individual
Optometrist3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5454
1043255342 GEORGIA DIMOS BRUNETTE
Individual
Internal Medicine3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5454
1568408565 SAROJINI SHARMA
Individual
Internal Medicine3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5454
1699702639 STEVEN FRANK PETERSON
Individual
Family Medicine3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5400
1770512873 BETH ANN FOUDRIAT
Individual
Physical Therapist3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5400
1649209313 JOSEPH FRANK JEANETTA
Individual
Physical Therapist3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5400
1700817079ST. MARY'S HOSPITAL OF SUPERIOR
Organization
Clinic/Center (Emergency Care)3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5400
1700896420 OLGA MIKHAYLOVNA TER-GRIGORYAN
Individual
Nurse Practitioner (Family)3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5454
1558466359 GLORIA LOPEZ M.D
Individual
Family Medicine3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5454
1174620298 DALE ROBERT WHITBY
Individual
Physical Therapist3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5454
1750455838 JOAN KRISTEN JEANETTA
Individual
Speech-Language Pathologist3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5454
1265506398 RAYMOND ALAN RADTKE
Individual
Physical Therapist3500 TOWER AVE
SUPERIOR, WI 54880
(218) 395-5454
1043384985MR. GREGORY STEPHAN VERGAMINI PT, ATC
Individual
Physical Therapist (Sports)3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5454
1134293301 BARBARA ROSE ANN WESSBERG
Individual
Physical Therapist3500 TOWER AVE
SUPERIOR, WI 54880
(218) 395-5454
1740354836 JENNIFER LYNN FARRELL
Individual
Physical Therapist3500 TOWER AVE
SUPERIOR, WI 54880
(715) 395-5454

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427110824, enumerated in the NPI registry as an "organization" on December 14, 2006

The provider is located at 3500 Tower Ave Superior, Wi 54880 and the phone number is (715) 395-5454

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

This NPI record was last updated on December 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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