U.P. DIGESTIVE DISEASE ASSOCIATES. P.C. NPI 1689766131

NPI Information

NPI: 1689766131
Provider Name: U.P. DIGESTIVE DISEASE ASSOCIATES. P.C.

Other Name: SUPERIOR ENDOSCOPY CENTER

Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

Address:
1414 W FAIR AVE
SUITE 135
MARQUETTE, MI
ZIP 49855
Phone: (906) 225-3880
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U.P. DIGESTIVE DISEASE ASSOCIATES. P.C. is an endoscopy clinic center in Marquette, MI. U.P. DIGESTIVE DISEASE ASSOCIATES. P.C. NPI is 1689766131. The provider is registered as an organization entity type.
The provider Other Name Is Superior Endoscopy Center.

The provider's business location address is:

1414 W FAIR AVE
SUITE 135
MARQUETTE, MI
ZIP 49855-408
Phone: (906) 225-3880
Fax: (906) 225-4523

The provider's authorized official is Cheryl A Liubakka .
The authorized official title is Practice Administrator and has the following contact phone number (906) 225-3880.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 6/14/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0800X	Clinic/Center	Endoscopy	526811	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	430003148	OTHER	MICHIGAN	RAILROAD MEDICARE
2	40371	OTHER	MICHIGAN	BLUE CROSS FACILITY NUMBE
3	0M17150	MEDICARE PIN	MICHIGAN
4	490E209940	OTHER	MICHIGAN	BCBSM PIN NIMBER

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: 5/5/2024

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