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SUPERIOR HEALTHCARE PLLC NPI 1386886265


NPI Information

NPI: 1386886265
Provider Name: SUPERIOR HEALTHCARE, PLLC

Doing Business As: CLARKSVILLE PAIN CONSULTANTS

Classification: Internal Medicine - 207RS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
2269 WILMA RUDOLPH BLVD
SUITE 107
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 905-1720
Get Directions

SUPERIOR HEALTHCARE, PLLC is a sports medicine internal medicine in Clarksville, TN. The provider is an internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. SUPERIOR HEALTHCARE, PLLC NPI is 1386886265. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clarksville Pain Consultants.

The provider's business location address is:

2269 WILMA RUDOLPH BLVD
SUITE 107
CLARKSVILLE, TN
ZIP 37040-179
Phone: (931) 905-1720
Fax: (931) 905-1721

The provider's authorized official is Kyle Longo .
The authorized official title is President and has the following contact phone number (931) 905-1720.

The enumeration date for this NPI number is 3/24/2009 and was last updated on 9/2/2010.


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
1111N00000XChiropractorDC0000002132TENNESSEENo
2363LF0000XNurse PractitionerFamilyAPN0000012014TENNESSEENo
3207RS0010XInternal MedicineSports MedicineMD45045TENNESSEEYes

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
1DO8673OTHERTENNESSEERAILROAD MEDICARE
26214150001MEDICARE NSCTENNESSEE
33373593MEDICARE PINTENNESSEE
41513752MEDICAIDTENNESSEE

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: 11/14/2023

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