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SUPERIOR URGENT CARE, LLC.
NPI 1679269138
Nurse Practitioner - Primary Care in Canal Winchester, OH

Active since April 17, 2023CLIA 36D2163653 · Waiver
3620 GENDER RD, CANAL WINCHESTER, OH 43110(614) 829-3015(833) 670-1836 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Superior Urgent Care, Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPERIOR URGENT CARE, LLC. (NPI 1679269138) is a healthcare organization registered as a primary care in Canal Winchester, Ohio and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through March 18, 2027 and lists Stan Bulanov, Cnp, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1679269138
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameSUPERIOR URGENT CARE, LLC.
Location Address3620 GENDER RDCanal Winchester, OH 43110-8679
Mailing Address3620 Gender RdCanal Winchester, OH 43110-8679 · (614) 829-3015 · Fax (833) 670-1836
Phone(614) 829-3015
Fax(833) 670-1836
Organization SubpartNo
Authorized OfficialStan BulanovCnp, Co-owner · (614) 829-3015
Enumeration DateApril 17, 2023
NPPES CertifiedApril 17, 2023
✔ NPI 1679269138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
3620 GENDER RD, Canal Winchester, OH 43110
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2163653

Superior Urgent Care, LLC · Canal Winchester, OH
Active · expires Mar 18, 2027
CLIA Number36D2163653
Laboratory TypeUrgent Care
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorStan Bulanov
Laboratory Phone(419) 835-4859
Laboratory LocationSuperior Urgent Care, LLC3620 Gender Rd, Canal Winchester, OH 43110
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARINA ELLER CNP
Nurse Practitioner (Family)
3620 GENDER RD
CANAL WINCHESTER, OH 43110
Fairfield County (148) 293-0156
MARISA MILLER APRN-CNP
Nurse Practitioner (Family)
3620 GENDER RD
CANAL WINCHESTER, OH 43110
Fairfield County (614) 829-3015
SUPERIOR URGENT CARE, LLC.
Clinic/Center (Urgent Care)
3620 GENDER RD
CANAL WINCHESTER, OH 43110
Fairfield County (614) 829-3015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Superior Urgent Care, LLC.'s NPI number?

The NPI number for Superior Urgent Care, LLC. is 1679269138. It was assigned to this organization in the NPPES registry on April 17, 2023.

Where is Superior Urgent Care, LLC. located?

Superior Urgent Care, LLC. is located at 3620 Gender Rd, Canal Winchester, OH 43110. The listed phone number is (614) 829-3015.

What is Superior Urgent Care, LLC.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Superior Urgent Care, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2163653) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Superior Urgent Care, LLC. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Superior Urgent Care, LLC. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Superior Urgent Care, LLC. was last updated on April 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.