SUMMIT MEDICAL GROUP, INC (NPI# 1639586688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639586688 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL GROUP, INC |
| Other Organization Name | ST ELIZABETH PHYSICIANS |
| Practice Address |
7370 Turfway Rd 3rd Floor Florence KY 41042-4895 |
| Mailing Address |
2300 Chamber Center Dr Ste 200 Lakeside Park KY 41017-1673 |
| Practice Telephone | 8594414334 |
| Practice Fax Number | 8594413698 |
| Mailing Telephone | 8593445501 |
| Mailing Fax Number | 8597955495 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | MARIA RANKIN (AVP - REVENUE CYCLE) |
| Authorized Official Telephone | 8593445555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | KY | Podiatric Medicine & Surgery Service Providers | |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
KY | Podiatric Medicine & Surgery Service Providers | |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
KY | Podiatric Medicine & Surgery Service Providers |
| 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 |
| 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 |
| 1578984779 | Summit Medical Group, Inc | Emergency Medicine | 4387 Winston Ave, Covington, KY 41015-1739 | 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 |
7370 TURFWAY RD 3RD FLOOR |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-4895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437151719 | Charles J Breen | Specialist | 7370 Turfway Rd, Ste 300, Florence, KY 41042-4895 | 2005-06-01 |
| 1235625187 | Alicia B Davidson | Nurse Practitioner | 7370 Turfway Rd, Florence, KY 41042-4895 | 2018-07-03 |
| 1679001622 | Michael Joe Duncan | Nurse Practitioner | 7370 Turfway Rd, Florence, KY 41042-4895 | 2017-06-02 |
| 1386039782 | Brandon Mchenry | Pediatrics | 7370 Turfway Rd, Florence, KY 41042 | 2015-04-02 |
| 1427488972 | Summit Medical Group,inc | Ophthalmology | 7370 Turfway Rd, Ste 370, Florence, KY 41042-4895 | 2013-11-20 |
| 1184065690 | Natalie Leticia Hone Romero | Dermatology | 7370 Turfway Rd, Florence, KY 41042 | 2013-07-12 |
| 1952742710 | Jennifer Lynn Dooley | Advanced Practice Midwife | 7370 Turfway Rd, Ste 390, Florence, KY 41042 | 2013-07-09 |
| 1598008856 | Colin Turney | Family Medicine | 7370 Turfway Rd, Suite 100, Florence, KY 41042-4895 | 2013-04-04 |
| 1174870406 | James Michael Morrow | Podiatrist | 7370 Turfway Rd, Florence, KY 41042 | 2012-08-06 |
| 1588922686 | Mohiuddin Bilal Shamsi | Podiatrist | 7370 Turfway Rd, Ste 320, Florence, KY 41042 | 2012-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275581704 | J D Smith | Podiatrist | 202 Rosa Ln, Florence, AL 35630-1769 | 2006-05-05 |
| 1174521082 | William M Nielson | Podiatrist | 7370 Turfway Rd, Ste 302, Florence, KY 41042 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811421076 | Christian Eric Ball | Podiatrist | 108 Cardinal Dr, Central City, KY 42330-1728 | 2017-04-14 |
| 1225183452 | Lee H. Goldstein Dpm Psc | Podiatrist | 509 E 18th St, Owensboro, KY 42303-3849 | 2007-01-25 |
| 1831182435 | Christopher W Hubbard | Podiatrist | 1905 W Hebron Ln, Shepherdsville, KY 40165-7465 | 2005-08-30 |
| 1982176657 | C B Podiatric Services, Pllc | Podiatrist | 108 Cardinal Dr, Central City, KY 42330-1728 | 2018-12-19 |
| 1053579532 | James B Braudis Dpm Plc | Podiatrist | 1236 Gainesway Dr, Lexington, KY 40517-2813 | 2008-05-30 |
| 1265431845 | Charles J Sugarman | Podiatrist | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 | 2005-07-18 |
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.