SUMMIT MEDICAL GROUP (NPI# 1164788261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164788261 |
Entity Type | Organization |
Organization Name | SUMMIT MEDICAL GROUP |
Other Organization Name | ST. ELIZABETH PHYSICIANS |
Practice Address |
340 Thomas More Pkwy Su. 160a Crestview Hills KY 41017-5100 |
Mailing Address |
2300 Chamber Center Dr Su. 200 Lakeside Park KY 41017-1673 |
Practice Telephone | 8593346466 |
Practice Fax Number | 8593447930 |
Mailing Telephone | 8593445555 |
Mailing Fax Number | 8593445552 |
Enumeration Date | 2012-04-03 |
Last Update Date | 2012-04-05 |
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 | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
St. Elizabeth Physicians | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235275207 | Summit Medical Group | Clinic/Center | 100 Highland Ave Ste 307, Providence, RI 02906-2753 | 2007-01-29 |
1457749376 | Summit Medical Group | Clinic/Center | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2014-12-30 |
1831595024 | Summit Medical Group | Internal Medicine | 27702 Crown Valley Pkwy, Suite D4-113, Ladera Ranch, CA 92694-0608 | 2014-11-14 |
1972918977 | Summit Medical Group | Clinic/Center | 38660 Medical Center Dr, Space A130, Palmdale, CA 93551-4385 | 2014-06-27 |
1548536568 | Summit Medical Group | Family Medicine | 300 Commercial Dr, Alexandria, KY 41001-2107 | 2012-03-23 |
1346515491 | Summit Medical Group | Orthopaedic Surgery | 204 Bridgeway St, Aurora, IN 47001-1334 | 2012-03-21 |
1780959833 | Summit Medical Group | Family Medicine | 1974 Walton Nicholson Pike, Independence, KY 41051-7906 | 2012-03-21 |
1679851729 | Summit Medical Group | Counselor | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2011-07-22 |
1871804344 | Summit Medical Group | Durable Medical Equipment & Medical Supplies | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2010-06-29 |
1942532825 | Summit Medical Group | Clinic/Center | 340 Thomas More Pkwy, Suite 160 B, Crestview Hills, KY 41017-5100 | 2010-02-03 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SUMMIT MEDICAL GROUP ARIZONA LLC | 5620 W Thunderbird Rd Ste F1, Glendale, AZ 85306-4652 |
Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON | 1501 Ne Medical Center Dr, Bend, OR 97701 |
Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BEND MEMORIAL CLINIC | 1501 Ne Medical Center Dr, Bend, OR 97701 |
Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BEND UROLOGY | 1501 Ne Medical Center Dr, Bend, OR 97701 |
Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BEND UROLOGY ASSOCIATES | 1501 Ne Medical Center Dr, Bend, OR 97701 |
Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BMC | 1501 Ne Medical Center Dr, Bend, OR 97701 |
Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BMC TOTAL CARE | 1501 Ne Medical Center Dr, Bend, OR 97701 |
Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BUA | 1501 Ne Medical Center Dr, Bend, OR 97701 |
Indiana Business Entities | SUMMIT MEDICAL GROUP, INC. | 334 Thomas More Pkwy, Ste 160, Edgewood, KY 41017 |
Street Address |
340 THOMAS MORE PKWY SU. 160A |
City | CRESTVIEW HILLS |
State | KY |
Zip Code | 41017-5100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417952722 | Kendall E. Hansen | Anesthesiology | 340 Thomas More Pkwy, Ste 260, Crestview Hills, KY 41017-5100 | 2005-06-15 |
1790290278 | Russell Hall | Nurse Anesthetist, Certified Registered | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 | 2017-12-06 |
1104365220 | Jeanne Ellen Powell | Nurse Practitioner | 340 Thomas More Pkwy, Suite 220, Crestview Hills, KY 41017-5100 | 2017-02-22 |
1710270327 | Ryan Matthew Wilson | Plastic Surgery | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 | 2011-05-16 |
1942532825 | Summit Medical Group | Clinic/Center | 340 Thomas More Pkwy, Suite 160 B, Crestview Hills, KY 41017-5100 | 2010-02-03 |
1134392335 | Nicole Marie Hausfeld | Physical Therapist | 340 Thomas More Pkwy, Suite 220, Crestview Hills, KY 41017-5100 | 2008-04-08 |
1346468030 | The Plastic Surgery Group | Specialist | 340 Thomas More Pkwy, Suite 100, Crestview Hills, KY 41017-5100 | 2007-04-20 |
1639220247 | Spectrabrace, Ltd | Durable Medical Equipment & Medical Supplies | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 | 2007-01-12 |
1407958176 | Matthew B Ebacher | Nurse Practitioner | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 | 2006-09-02 |
1740394642 | Cincinnati Healthcare Group Psc, Dba Patient First Physicians Group | Internal Medicine | 340 Thomas More Pkwy, Suite 160a, Crestview Hills, KY 41017-5100 | 2006-08-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
Find all providers in zip 41017 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
---|---|---|---|---|
1225271026 | Allan P Lam | Internal Medicine | 425 Centre View Boulevard, Crestview Hills, KY 41017-3409 | 2009-04-09 |
1427095330 | Paul R Guenthner | Internal Medicine | 351 Centre View Blvd, Crestview Hills, KY 41017-3477 | 2006-05-31 |
1720084353 | Ross Mchenry | Internal Medicine | 425 Centre View Blvd, Crestview Hills, KY 41017-3409 | 2005-06-28 |
1730571365 | Carolyn Day | Internal Medicine | 425 Centre View Blvd, Crestview Hills, KY 41017-3409 | 2015-02-18 |
1235420621 | Suma Chennubhotla | Internal Medicine | 651 Centre View Boulevard, Crestview Hills, KY 41017 | 2011-04-20 |
1790074078 | Samir Vermani | Internal Medicine | 425 Centre View Blvd, Crestview Hills, KY 41017-3409 | 2011-04-07 |
1700064995 | Scott Charles Leverage | Internal Medicine | 425 Centre View Blvd, Gastroenterology, Crestview Hills, KY 41017-3409 | 2008-02-10 |
1225216989 | Suzana Brozovic | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017 | 2008-02-05 |
1336350990 | Amy J Dichiara | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017 | 2007-05-25 |
1780714931 | Chadwick Ward Hatfield | Internal Medicine | 425 Centre View Blvd, Crestview Hills, KY 41017-3409 | 2007-03-06 |
Find all providers in CRESTVIEW HILLS |
City | CRESTVIEW HILLS |
Zip Code | 41017 |
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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.