SUMMIT INTERNAL MEDICINE (NPI# 1053404657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053404657 |
| Entity Type | Organization |
| Organization Name | SUMMIT INTERNAL MEDICINE |
| Other Organization Name | GLYNN MEDICAL ASSOCIATES |
| Practice Address |
3025 Shrine Rd Suite 290 Brunswick GA 31520-4744 |
| Practice Telephone | 9122671026 |
| Practice Fax Number | 9122655415 |
| Mailing Telephone | 9122671026 |
| Mailing Fax Number | 9122655415 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-02-28 |
| Authorized Official Name | DR. WILLIAM JAMES LAWS (CEO) |
| Authorized Official Telephone | 9122671026 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT INTERNAL MEDICINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RR MEDICARE | CI8306 | 01 |
| Other Name | Type Code |
|---|---|
| GLYNN MEDICAL ASSOCIATES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952454746 | Summit Internal Medicine | Internal Medicine | 3570 Grandview Parkway Suite 100-a, Birmingham, AL 35243-2033 | 2007-01-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Summit Internal Medicine, Inc. | 6179 S. Balsam Way, Suite 210, Littleton, CO 80123 |
| Street Address |
3025 SHRINE RD SUITE 290 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902874043 | Nancy A Denlea | Obstetrics & Gynecology | 3025 Shrine Rd, Suite 190, Brunswick, GA 31520-4788 | 2006-03-14 |
| 1356879902 | Nephrology and Hypertension Medical Associates PC | Internal Medicine | 3025 Shrine Rd, Brunswick, GA 31520-4784 | 2017-05-26 |
| 1619353315 | Theresa Cheek | Occupational Therapist | 3025 Shrine Rd, Suite 350, Brunswick, GA 31520-4784 | 2015-08-04 |
| 1255751673 | Ribbon of Hope | Durable Medical Equipment & Medical Supplies | 3025 Shrine Rd, Suite 170, Brunswick, GA 31520-4784 | 2014-04-24 |
| 1851664445 | Lesli G Mcquigg | Registered Nurse | 3025 Shrine Rd, Suite 190, Brunswick, GA 31520-4784 | 2012-02-14 |
| 1184893943 | Donna Naomi Lawson | Nurse Practitioner | 3025 Shrine Rd, Suite 280, Brunswick, GA 31520-4784 | 2008-02-26 |
| 1316132202 | Steven Tillman Williams | Internal Medicine | 3025 Shrine Rd, Ste 290, Brunswick, GA 31520-4744 | 2007-09-13 |
| 1356550610 | Jason Michael Joseph | Obstetrics & Gynecology | 3025 Shrine Rd, Suite 190, Brunswick, GA 31520-4784 | 2007-05-22 |
| 1124038856 | Jack Melvin Deese Jr. | Orthopaedic Surgery | 3025 Shrine Rd, Suite 390, Brunswick, GA 31520-4784 | 2006-08-08 |
| 1255341988 | Michael James Sullivan | Orthopaedic Surgery | 3025 Shrine Rd, Brunswick, GA 31520-4784 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229435 | Vijay Kakumanu Md LLC | Internal Medicine | 4036 Center Rd Unit B, Brunswick, OH 44212-2945 | 2019-11-16 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| 1477991842 | Lindsey Ackley-pozzessere | Internal Medicine | 22 Station Ave Ste 101, Brunswick, ME 04011-2092 | 2013-06-07 |
| 1578818506 | Natalia V Chaar-tirado | Internal Medicine | 3025 Shrine Rd Ste 150, Brunswick, GA 31520-4784 | 2012-07-16 |
| 1770759789 | Vu Uy Ho | Internal Medicine | 121 Medical Center Dr Ste 3300, Brunswick, ME 04011-2674 | 2008-04-30 |
| 1760669865 | Matthew Edward Certain | Internal Medicine | 2500 Starling St Ste 404, Brunswick, GA 31520-4269 | 2008-01-31 |
| 1730368853 | Dr. David L. Lawson, M.d., P.C. | Internal Medicine | 3204 Shrine Rd, Brunswick, GA 31520-4325 | 2007-10-25 |
| 1326260555 | Stephen Douglas Boyd | Internal Medicine | 331 Maine St Ste 24, Brunswick, ME 04011-3359 | 2007-05-03 |
| 1588788657 | University Primary Care Practices | Internal Medicine | 3812 Center Rd Ste 106, Brunswick, OH 44212-3025 | 2007-03-16 |
| Find all providers in BRUNSWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.