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DR. MICHAEL JOHN SUPERIOR MD MPH NPI 1629164447


NPI Information

NPI: 1629164447
Provider Name: DR. MICHAEL JOHN SUPERIOR, MD, MPH
Classification: Preventive Medicine - 2083P0901X
Entity Type: Individual

Specialization: Public Health & General Preventive Medicine

PECOS Registration: Yes

Address:
5158 BLACK HAWK RD
ABERDEEN PROVING GROUND, MD
ZIP 21010
Phone: (410) 436-5127
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DR. Michael John Superior, MD, MPH is a public health and general preventive medicine preventive medicine in Aberdeen Proving Ground, MD. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. DR. Michael John Superior, MD, MPH NPI is 1629164447. 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:

5158 BLACK HAWK RD
ABERDEEN PROVING GROUND, MD
ZIP 21010-403
Phone: (410) 436-5127

The NPI 1629164447 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 8/18/2017.


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
12083P0901XPreventive MedicinePublic Health & General Preventive Medicine62171GEORGIANo
22083P0901XPreventive MedicinePublic Health & General Preventive Medicine25MA09423100NEW JERSEYNo
32083P0901XPreventive MedicinePublic Health & General Preventive MedicineC1-0008620DELAWAREYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.