Eileen Nikko Super, MD
Eileen Nikko Super is a Surgery Physician provider (Surgery) practicing in Miramar, FL, registered in the NPPES registry with NPI 1124465067 since 2013. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124465067 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Eileen Nikko Super |
| Credential | MD |
| Sex | Female |
| Practice address | 3601 SW 160TH AVE, SUITE 250, Miramar, FL, 33027 |
| Phone | 8778667123 |
| Fax | 8558552792 |
| Enumeration date | 2013-06-02 |
| Last updated in NPPES | 2016-08-26 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 74602 | GA |
| 207Q00000X | Family Medicine Physician | Secondary | 74602 | GA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74602 | Other | GA | GEORGIA COMPOSITE MEDICAL BOARD |
Copy-ready billing details
Provider: Eileen Super, MD NPI: 1124465067 Taxonomy: 208600000X (Surgery Physician) Address: 3601 SW 160TH AVE, SUITE 250, Miramar, FL, 33027
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1730184821 | Eduardo Wolffe | Individual | Surgery Physician | Miramar, FL |
| 1184620668 | Frederick Foeppel | Individual | Internal Medicine Physician | Miramar, FL |
| 1225035181 | Glen Rowe | Individual | Family Medicine Physician | Miramar, FL |
| 1902804248 | Heather Tipsword | Individual | Family Medicine Physician | Miramar, FL |
| 1255330643 | Ronnie Calhoun | Individual | Surgery Physician | Miramar, FL |
| 1366441552 | Wright Penniman | Individual | Family Medicine Physician | Miramar, FL |
| 1699775569 | Leigh Montes | Individual | Family Medicine Physician | Miramar, FL |
| 1528068061 | Vetra Gipson | Individual | Plastic Surgery Physician | Miramar, FL |
Verify this record
Cross-check NPI 1124465067 against the authoritative CMS record: view Eileen Nikko Super on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-08-26.