SUMMIT MEDICAL GROUP, PLLC (NPI# 1285132845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285132845 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL GROUP, PLLC |
| Other Organization Name | HAMBLEN PEDIATRIC ASSOCIATES |
| Practice Address |
1817 W Morris Blvd Morristown TN 37813-2837 |
| Mailing Address |
1225 E Weisgarber Rd Ste 200 Knoxville TN 37909-2675 |
| Practice Telephone | 4235813904 |
| Practice Fax Number | 4235816120 |
| Mailing Telephone | 8655844747 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | ALLISON HALL (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8655844747 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Hamblen Pediatric Associates | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1405 S Sizer Ave Ste E, Jefferson City, TN 377602421 | 8654755377 | |
| 952 Dolly Parton Pkwy, Sevierville, TN 378623707 | 8654539980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646559 | Summit Medical Group, Pllc | Family Medicine | 1825 Knoxville Hwy, Wartburg, TN 37887 | 2020-07-13 |
| 1497371496 | Summit Medical Group, Pllc | Family Medicine | 1031 W Madison Ave Ste 1, Athens, TN 37303-3496 | 2020-06-25 |
| 1245898303 | Summit Medical Group, Pllc | Clinic/Center | 7545 Barnett Way Ste A, Powell, TN 37849-3565 | 2019-06-04 |
| 1700302098 | Summit Medical Group, Pllc | Internal Medicine | 202 Dohi Drive, Loudon, TN 37774 | 2017-08-17 |
| 1407293293 | Summit Medical Group, Pllc | Internal Medicine | 4160 Medical Park Dr., Suite 107, Lenoir City, TN 37772 | 2013-06-03 |
| 1225348493 | Summit Medical Group, Pllc | Internal Medicine | 163 Perkins Lane, Jacksboro, TN 37757 | 2010-10-20 |
| 1033425780 | Summit Medical Group, Pllc | Family Medicine | 1924 Pinnacle Pointe Way, Suite 100, Knoxville, TN 37922 | 2010-08-19 |
| 1942371398 | Summit Medical Group, Pllc | Family Medicine | 6537 Kingston Pike, Knoxville, TN 37919-4826 | 2006-11-09 |
| 1306915327 | Summit Medical Group, Pllc | Family Medicine | 641middle Creek Road, Sevierville, TN 37863 | 2006-11-06 |
| 1962581587 | Summit Medical Group, Pllc | Family Medicine | 1208 Merchants Dr, Knoxville, TN 37912-4707 | 2006-11-03 |
| Street Address |
1817 W MORRIS BLVD |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37813-2837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144259920 | Larry Michael Toffoletto | Pediatrics | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2006-07-02 |
| 1679126056 | Knoxville Pediatric Cardiology Morristown | Pediatrics | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2019-07-24 |
| 1477037786 | Morgin N Grant | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2018-09-21 |
| 1336623693 | Vanessa L Odom | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2018-09-21 |
| 1134668379 | Ryan Davis | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2017-02-21 |
| 1609203298 | Jennifer G Tourville | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2013-09-27 |
| 1518393834 | Brittany Megan Seal | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2013-09-18 |
| 1356618987 | Ashley Kirkpatrick Williams | Clinical Nurse Specialist | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2011-11-28 |
| 1568624823 | Lauren Ruth Cordle | Audiologist-Hearing Aid Fitter | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2008-06-27 |
| 1811057888 | Casey Nelson Moss | Pediatrics | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
| 1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
| 1427550847 | Sherri Elizabeth Carlisle | Nurse Practitioner | 420 W Morris Blvd Ste 410, Morristown, TN 37813 | 2018-03-01 |
| 1992100770 | Dan-huy Nguyen | Pharmacist | 251 S. Cumberland St, Morristown, TN 37813 | 2014-10-23 |
| 1427311299 | Covenant Homecare | Durable Medical Equipment & Medical Supplies | 1611 West Morris Blvd, Morristown, TN 37813 | 2012-06-18 |
| 1194032730 | Morristown Pharmacist Group, LLC Dba M.d. Pharmacy | Pharmacy | 1467 W Morris Blvd, Morristown, TN 37813 | 2010-09-02 |
| 1750512653 | Tiffany Colleen Hopkins | Speech-Language Pathologist | 958 Trade St Ste 102, Morristown, TN 37813 | 2009-07-27 |
| 1699934711 | Kidney Center Pllc | Internal Medicine | 1751 West Morris Blvd. Suite 4, Morristown, TN 37813 | 2008-06-04 |
| 1154591055 | Kristal Lay Hurst | Nurse Practitioner | 1079 E Morris Blvd, Morristown, TN 37813 | 2008-03-06 |
| 1013002468 | Daniel James Martin | Physician Assistant | 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 | 2006-10-03 |
| Find all providers in zip 37813 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578115622 | Ahmad Salah Sami | Pediatrics | 100 Madison Ave # 7960, Morristown, NJ 07960-6136 | 2019-07-09 |
| 1184817017 | Roger Kane | Pediatrics | 25 Harwich Rd, Morristown, NJ 07960-2639 | 2007-08-23 |
| 1538370630 | Shannon Elizabeth Babineau | Pediatrics | 100 Madison Ave Box 24, Morristown, NJ 07960 | 2007-05-24 |
| 1205055241 | Deborah Chernock Block | Pediatrics | 32 Bradwahl Dr, Morristown, NJ 07960-6131 | 2007-04-25 |
| 1043332752 | Susan Lasker | Pediatrics | 2 Convent Rd, College of St. Elizabeth Founders Hall Health Service, Morristown, NJ 07960-6923 | 2007-04-04 |
| 1629100995 | Pediatrics of Morristown | Pediatrics | 144 Speedwell Ave, Rear Building, Morristown, NJ 07960-3850 | 2007-03-12 |
| 1639238884 | Victoria Shluper | Pediatrics | 101 Madison Ave Ste 103, Morristown, NJ 07960-7305 | 2006-12-06 |
| 1336161496 | Sabrina Gloria Destefano | Pediatrics | 12f Dorado Dr, Morristown, NJ 07960-9413 | 2006-07-24 |
| 1144259920 | Larry Michael Toffoletto | Pediatrics | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2006-07-02 |
| 1245288588 | Annette Lucy Rossetti-cartaxo | Pediatrics | 435 South St Suite 160, Morristown, NJ 07960 | 2006-05-05 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 37813 |
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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.