SUMMIT MEDICAL GROUP


Address: 100 Highland Ave Ste 307, Providence, RI 02906-2753
Phone: 4013315320

SUMMIT MEDICAL GROUP (NPI# 1235275207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235275207
Entity Type Organization
Organization Name SUMMIT MEDICAL GROUP
Practice Address 100 Highland Ave Ste 307
Providence
RI 02906-2753
Practice Telephone 4013315320
Practice Fax Number 4013316168
Mailing Telephone 4013315320
Mailing Fax Number 4013316168
Enumeration Date 2007-01-29
Last Update Date 2020-08-22
Authorized Official Name MARVIN STUART KERZNER (MEDICAL DIRECTOR)
Authorized Official Telephone 4013315320
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
RI3593 RI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
RI AETNA 2059883 01
RI 9000847 05
RI BLUE CROSS 847-1 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1164788261 Summit Medical Group Nurse Practitioner 340 Thomas More Pkwy, Su. 160a, Crestview Hills, KY 41017-5100 2012-04-03
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

Other Data Sources

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

Office Location

Street Address 100 HIGHLAND AVE STE 307
City PROVIDENCE
State RI
Zip Code 02906-2753

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1316453855 Ellen Van Ingen Darling Psychologist 285 Governor St Ste 250, Providence, RI 02906 2017-12-20
1275063919 Marissa Martz Psychiatry & Neurology 345 Blackstone Blvd., Providence, RI 02906 2017-06-15
1235663220 Alena Haltzman Counselor 223 Summit Ave, Providence, RI 02906 2017-04-17
1669823399 Kathryn Fleming-ives LLC Psychiatry & Neurology 355 Hope St Unit 1, Providence, RI 02906 2016-06-23
1134573389 Sarah E. Kramer Psychiatry & Neurology Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 2016-04-13
1538534201 Laura Anne Buss Social Worker 55 Hope St., Providence, RI 02906 2015-12-07
1700289360 Tinatin Surguladze Counselor 205 Waterman St Suite 106, Providence, RI 02906 2014-09-26
1467851519 Jamila Allouane Social Worker 120 Wayland Avenue Suite 2, Providence, RI 02906 2014-08-14
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023395340 Concentra Primary Care Pa Clinic/Center 290 Branch Ave, Providence, RI 02904-2713 2011-11-15
1972721157 Lewis R. Weiner, M.d., Inc. Clinic/Center 1 Davol Sq, #304, Providence, RI 02903-4755 2007-04-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700420106 Alexa S Gladstone Clinic/Center 333 School St # 112, Pawtucket, RI 02860-5334 2019-10-30
1437432689 Concentra Primary Care Pa Clinic/Center 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 2011-09-23
1568667848 Wellnorth Medical LLC Clinic/Center 1630 Mineral Spring Ave, 2, North Providence, RI 02904-4025 2007-06-18
1174141345 Stillwater Primary Care Ltd Clinic/Center 712 Putnam Pike Unit 2, Chepachet, RI 02814-1404 2020-07-14
1356965859 Berghelli Internal Medicine, LLC Clinic/Center 2358 S County Trl, East Greenwich, RI 02818-1583 2020-06-01
1063984813 Osh - Ri Physicians Group, PC Clinic/Center 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 2018-12-18
1407222789 Direct Doctors, Inc. Clinic/Center 320 Phillips St Ste 203, North Kingstown, RI 02852-5149 2015-08-20
1386041507 Family Doctor Plus Ri LLC Clinic/Center 553 Kingstown Rd, Wakefield, RI 02879-3600 2014-12-03
1255606844 Concentra Primary Care Pa Clinic/Center 400 Bald Hill Rd, Suite 511, Warwick, RI 02886-1617 2012-03-14
1548538473 Primary Care Partners Clinic/Center 2756 Post Rd, Warwick, RI 02886-3003 2011-12-07
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Competitor

Search similar providers

City PROVIDENCE
Zip Code 02906

Improve Information

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Dataset Information

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.

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