SUMMIT MEDICAL GROUP, INC. (NPI# 1093137812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093137812 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL GROUP, INC. |
| Other Organization Name | ST. ELIZABETH PHYSICIANS |
| Practice Address |
1400 Grand Avenue Newport KY 41071-2570 |
| Mailing Address |
2300 Chamber Center Dr Suite 200 Lakeside Park KY 41017-1673 |
| Practice Telephone | 8599053070 |
| Practice Fax Number | 8594412230 |
| Mailing Telephone | 8593445555 |
| Mailing Fax Number | 8593445552 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-02-17 |
| Authorized Official Name | GLENN LOOMIS (PRESIDENT/CEO) |
| Authorized Official Telephone | 8593443733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 207R00000X | Internal Medicine | KY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Elizabeth Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598197691 | Summit Medical Group, Inc. | Pediatrics | 2765 Chapel Pl, Su. 200, Crestview Hills, KY 41017-3413 | 2013-07-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SUMMIT MEDICAL GROUP, INC. | 334 Thomas More Pkwy, Ste 160, Edgewood, KY 41017 |
| Street Address |
1400 GRAND AVENUE |
| City | NEWPORT |
| State | KY |
| Zip Code | 41071-2570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730306754 | Benjamin Michael Anderson | Psychologist | 1400 Grand Avenue, Newport, KY 41071 | 2007-04-19 |
| 1548733066 | Summt Medical Group, Inc | Clinic/Center | 1400 Grand Avenue, Newport, KY 41071 | 2019-01-08 |
| 1164995544 | Summit Medical Group, Inc | Urology | 1400 Grand Avenue, Newport, KY 41071 | 2019-01-08 |
| 1932442175 | Darek Sanford | Internal Medicine | 1400 Grand Avenue, Newport, KY 41071-2570 | 2013-04-05 |
| 1457663833 | Tyler William Browning | Family Medicine | 1400 Grand Avenue, St Elizabeth Physicians, Newport, KY 41071 | 2010-07-13 |
| 1093976375 | Sherri Lynne Schwartz | Family Medicine | 1400 Grand Avenue, St Elizabeth Physicians, Newport, KY 41071-2570 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528598240 | Drew Austin Rappaport | Dentist | 70 Carothers Rd, Newport, KY 41071 | 2017-06-14 |
| 1811443435 | Marcus E. Mckinney | Pharmacist | 100 Aqua Way, Newport, KY 41071 | 2016-09-01 |
| 1437288065 | Douglas K Braun | Dentist | 40 E 9th St, Newport, KY 41071 | 2007-03-02 |
| 1952445017 | Therapeutic Collabortive | Social Worker | 525 Licking Pike, Wilder, KY 41071 | 2007-02-20 |
| 1215078407 | Holly Ann Eary | Counselor | 519 Licking Pk, Wilder, KY 41071 | 2007-02-09 |
| 1790839819 | James John Otrembiak | Pediatrics | 525 Alexandria Pike Ste 320, Southgate, KY 41071 | 2007-01-23 |
| 1326047903 | Stephen F Mielech | Podiatrist | 525 Alexandria Pike, Southgate, KY 41071 | 2005-07-18 |
| 1033737085 | Ashley Ryan | Nurse Practitioner | 215 E. 11th St., Newport, KY 41071 | 2020-07-07 |
| 1619454071 | Sarah Kaiser | Social Worker | 1 Moock Rd Ste 101, Wilder, KY 41071 | 2018-07-27 |
| 1750877023 | Alyssa Kreider | Nurse Practitioner | 1400 Grand Ave, Newport, KY 41071 | 2018-07-10 |
| Find all providers in zip 41071 | ||||
| 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 |
|---|---|---|---|---|
| 1073757654 | Aydin Abyar Lathari | Internal Medicine | 186 Medical Village Dr Ste 2, Newport, VT 05855-8537 | 2009-04-27 |
| 1174709083 | Mark Schroer Md Pllc | Internal Medicine | 17 E 6th St, Newport, KY 41071-1803 | 2008-01-10 |
| 1235322157 | Palaniswamy Krishnan | Internal Medicine | St. Woolos Hospital, Stow Hill, Newport, UK NP20 4SZ | 2007-08-23 |
| 1639235070 | James B. Hylton | Internal Medicine | 775 S.w. 9th Street, Suite B, Newport, OR 97365 | 2006-12-29 |
| 1184704181 | Stephen R Bell | Internal Medicine | 7825 North Dixie Highway, Newport, MI 48166-9776 | 2006-10-16 |
| 1578659132 | William C. Cobb, M.d., P.a. | Internal Medicine | 1117 Mclain Street, Newport, AR 72112 | 2006-10-04 |
| 1063440287 | John Thomas Mccaffrey | Internal Medicine | 409 Broadway, Newport, RI 02840-1740 | 2006-06-28 |
| 1487697355 | John F. Watkins | Internal Medicine | 407 N Coast Hwy Ste 200, Newport, OR 97365-3117 | 2006-06-14 |
| 1902864416 | Mark Allen Schroer | Internal Medicine | 17 East Sixth Street, Newport, KY 41071-1803 | 2006-05-03 |
| 1962474684 | Robert James Sucsy | Internal Medicine | 11 Friendship Street, Newport Hospital, Newport, RI 02840 | 2006-02-06 |
| Find all providers in NEWPORT | ||||
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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.