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Lake Superior State University

Family Medicine Physician in Sault Sainte Marie, MI · enumerated 2005 · authorized official Kenneth Peress, Vice President Student Affairs.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467454199

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Superior State University
Practice address 650 W Easterday Ave, Sault Sainte Marie, MI, 49783
Phone (906) 635-2110
Enumeration date Aug 12, 2005
Last updated in NPPES Dec 12, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kenneth Peress
Title Vice President Student Affairs
Phone (906) 635-2634

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.

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Frequently asked questions

What type of organization is Lake Superior State University?
Lake Superior State University is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-12-12.