SUMMIT MEDICAL GROUP, INC (NPI# 1578984779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578984779 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL GROUP, INC |
| Other Organization Name | ST. ELIZABETH PHYSICIANS |
| Practice Address |
4387 Winston Ave Covington KY 41015-1739 |
| Mailing Address |
2300 Chamber Center Dr Suite 200 Lakeside Park KY 41017-1673 |
| Practice Telephone | 8594317300 |
| Practice Fax Number | 8594315999 |
| Mailing Telephone | 8593445555 |
| Mailing Fax Number | 8593445552 |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |
| 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 | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Elizabeth Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396398624 | Summit Medical Group, Inc | Family Medicine | 79 Country Club Drive, Butler, KY 41006-8704 | 2019-07-16 |
| 1174096580 | Summit Medical Group, Inc | Clinic/Center | 8726 Us Highway 42, Florence, KY 41042-8550 | 2019-01-08 |
| 1164995544 | Summit Medical Group, Inc | Urology | 1400 Grand Avenue, Newport, KY 41071 | 2019-01-08 |
| 1922574854 | Summit Medical Group, Inc | Clinic/Center | 351 Centre View Boulevard, Crestview Hills, KY 41017-3477 | 2018-10-18 |
| 1639586688 | Summit Medical Group, Inc | Urology | 7370 Turfway Rd, 3rd Floor, Florence, KY 41042-4895 | 2014-07-22 |
| 1548677636 | Summit Medical Group, Inc | Podiatrist | 525 Alexandria Pike, Ste 230, Southgate, KY 41071-3290 | 2014-07-21 |
| 1508287640 | Summit Medical Group, Inc | Counselor | 1360 Dolwick Drive, Erlanger, KY 41018-3127 | 2013-12-16 |
| 1083035299 | Summit Medical Group, Inc | Emergency Medicine | 2091 N Bend Rd, Hebron, KY 41048-9691 | 2013-12-16 |
| 1790042430 | Summit Medical Group, Inc | Clinic/Center | 2626 Alexandria Pike, Highland Heights, KY 41076-1530 | 2012-04-19 |
| 1750343216 | Summit Medical Group, Inc | Counselor | 1360 Dolwick Drive, Erlanger, KY 41018-3127 | 2006-04-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SUMMIT MEDICAL GROUP, INC. | 334 Thomas More Pkwy, Ste 160, Edgewood, KY 41017 |
| Street Address |
4387 WINSTON AVE |
| City | COVINGTON |
| State | KY |
| Zip Code | 41015-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407834864 | Christina Brockman | Emergency Medicine | 4387 Winston Ave, Covington, KY 41015-1739 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609386580 | Brandon D Smith | Respite Care | 686 Wischer Dr, Taylor Mill, KY 41015 | 2017-10-05 |
| 1669868394 | Katy Hoffman | Counselor | 4339 Winston Avenue, Latonia Center, Covington, KY 41015 | 2015-04-09 |
| 1750499166 | Drs Halpin Psc | Dentist | 5150 Taylor Mill Road, Taylor Mill, KY 41015 | 2006-08-26 |
| 1114996196 | Ryland Heights and Community Volunteer Fire Dept Inc | Ambulance | 10041 Decoursey Pike, Ryland Heights, KY 41015 | 2006-03-14 |
| 1750788261 | Andrew Glockner | Social Worker | 4339 Winston Ave, Covington, KY 41015 | 2014-11-26 |
| 1922445303 | Laura Mcginnis Foor | Family Medicine | 5522 Taylor Mill Rd, Taylor Mill, KY 41015 | 2013-05-27 |
| 1073541967 | Christine Marie Timmerman | Art Therapist | 4339 Winston Ave, Covington, KY 41015 | 2006-06-29 |
| 1124319579 | Tawnya Kordenbrock | Counselor | 3800 Church St., Covington, KY 41015-0742 | 2011-04-20 |
| 1184723918 | Paula Weber | Social Worker | 3629 Church St, Covington, KY 41015-1430 | 2006-09-21 |
| 1679911408 | Kara L Riegler | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2013-06-14 |
| Find all providers in zip 41015 | ||||
| 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 |
|---|---|---|---|---|
| 1093265605 | Tipton County Integrated Medicine | Internal Medicine | 201 W Pleasant Avenue, Covington, TN 38019-2538 | 2016-10-06 |
| 1942539861 | P Craig Parker, Md | Internal Medicine | 47 Oaklawn Dr, Covington, LA 70433-4520 | 2009-12-24 |
| 1295965986 | Premium Care Med Group Inc | Internal Medicine | 3828 Salem Rd, Suite 200, Covington, GA 30016-4528 | 2009-07-16 |
| 1043488364 | Vijaya Swamy | Internal Medicine | 10109 Fieldcrest Walk, Covington, GA 30014-2035 | 2008-02-20 |
| 1154520773 | Darryl Arlton Driggs | Internal Medicine | 17438 Hard Hat Drive, Covington, LA 70435 | 2007-07-13 |
| 1841496718 | Brandon Deann Simon-davis | Internal Medicine | 130 Lakeview Circle, Covington, LA 70433 | 2007-06-26 |
| 1053512996 | Eastview Internal Medicine, P.C. | Internal Medicine | 3285 Salem Rd, Covington, GA 30016-1863 | 2007-05-29 |
| 1386855138 | Lemuel Phillips Jenkins | Internal Medicine | 131 Cherokee Rose Ln Ste B, Covington, LA 70433-7244 | 2007-05-24 |
| 1679695910 | Douglas H Rank | Internal Medicine | 12 W Pike St, Covington, KY 41011 | 2007-04-06 |
| 1154499481 | Nirmala Sowbhagya Chelliah | Internal Medicine | Eastview Internal Medicine, P.C. 3285 Salem Road, Covington, GA 30016-1863 | 2006-12-04 |
| Find all providers in COVINGTON | ||||
Please comment or provide details below to improve the information on SUMMIT MEDICAL GROUP, INC.
| 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.