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DENNIS M SUPER MD NPI 1780618199


NPI Information

NPI: 1780618199
Provider Name: DENNIS M SUPER, MD
Classification: Pediatrics - 2080P0203X
Entity Type: Individual

Specialization: Pediatric Critical Care Medicine

Address:
2500 METROHEALTH DR
MHMC-PEDIATRICS
CLEVELAND, OH
ZIP 44109
Phone: (216) 778-5633
Get Directions

Dennis M Super, MD is a pediatric critical care medicine pediatrics in Cleveland, OH. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. Dennis M Super, MD NPI is 1780618199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2500 METROHEALTH DR
MHMC-PEDIATRICS
CLEVELAND, OH
ZIP 44109-900
Phone: (216) 778-5633

The enumeration date for this NPI number is 7/10/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0203XPediatricsPediatric Critical Care Medicine35049067OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F15560MEDICARE UPINOHIO
20545593MEDICAIDOHIO
3SU7276291MEDICARE ID-TYPE UNSPECIFIEDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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