MEDICARE: SUPERIOR MEDICAL EQUIP GRP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	13209456	MD
2	335E00000X	Prosthetic/Orthotic Supplier	13209456	MD

General Provider Information

NPI Number	:	1336101096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPERIOR MEDICAL EQUIP GRP INC

Provider Business Mailing Address
First Line	:	PO BOX 1747
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21041-1747
Country	:	US
Telephone Number	:	410-461-4675
Fax Number	:	410-461-5713

Provider Business Practice Location Address
First Line	:	3243 BETHANY LANE
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042
Country	:	US
Telephone Number	:	410-461-4675
Fax Number	:	410-461-5713

Authorized Official
Title or Position	:	DIVISION MANAGER
Name	:	MR. DAVID C STEELE
Credential	:
Telephone Number	:	410-461-4675

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	09/11/2025

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