SUMMIT MEDICAL GROUP,PLLC (NPI# 1669031837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669031837 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL GROUP,PLLC |
| Other Organization Name | PEDIATRIC CLINIC |
| Practice Address |
125 Huxley Rd Knoxville TN 37922-3197 |
| Mailing Address |
1275 Dick Lonas Rd Unit 101 Knoxville TN 37909-1383 |
| Practice Telephone | 8655180084 |
| Practice Fax Number | 8655585669 |
| Mailing Telephone | 8655844747 |
| Mailing Fax Number | 8655841363 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | ED CURTIS (CEO) |
| Authorized Official Telephone | 8655844747 |
| Authorized Official Credential | CMPE |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT MEDICAL GROUP,PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q053040 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11021 Chapman Hwy, Seymour, TN 37865 | 8652053028 | 8655585698 |
| 11021 Chapman Hwy, Seymour, TN 37865 | 8655793720 | 8655777309 |
| 125 Huxley Rd, Knoxville, TN 379223197 | 8654708884 | 8655390956 |
| 2587 Willow Point Way, Knoxville, TN 379313162 | 8658241522 | 8655585692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285199109 | Summit Medical Group,pllc | Family Medicine | 280 Ft Sanders W Blvd Ste 101, Knoxville, TN 37922-3352 | 2019-02-05 |
| 1205333481 | Summit Medical Group,pllc | Pediatrics | 1341 Branton Blvd Ste 102, Knoxville, TN 37922-8521 | 2018-04-12 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1053838714 | Summit Medical Group,pllc | Internal Medicine | 1128 E Weisgarber Rd Ste 201, Knoxville, TN 37909-2677 | 2017-08-24 |
| 1477605277 | Summit Medical Group,pllc | Physical Medicine & Rehabilitation | 9333 Park West Blvd, Suite 102, Knoxville, TN 37923-4341 | 2007-01-18 |
| Street Address |
125 HUXLEY RD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-3197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992786651 | Melissa Anne Meyer | Pediatrics | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2005-11-09 |
| 1699195099 | Kelli Chamberlain Wolfe | Registered Nurse | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2014-04-24 |
| 1982929279 | Pediatric Consultants West | Pediatrics | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2010-03-30 |
| 1457503021 | Virginia Stafford Hile | Clinical Nurse Specialist | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2008-10-15 |
| 1396910618 | Dale Gouldie | Clinical Nurse Specialist | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2008-04-28 |
| 1578573556 | Kristy Edge Carter | Pediatrics | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| 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 |
|---|---|---|---|---|
| 1205333481 | Summit Medical Group,pllc | Pediatrics | 1341 Branton Blvd Ste 102, Knoxville, TN 37922-8521 | 2018-04-12 |
| 1942643853 | Jennifer Lynne Jaynes | Pediatrics | 10857 Hardin Valley Rd, Knoxville, TN 37932-1410 | 2013-04-10 |
| 1346510856 | Donald Eugene Lighter II | Pediatrics | 2120 River Sound Dr, Knoxville, TN 37922-5663 | 2012-01-01 |
| 1851536015 | Jennifer Leigh Damewood | Pediatrics | 1718 Saint Mary St Ste A, Knoxville, TN 37917-4518 | 2008-12-02 |
| 1316118714 | Pediatric Consultants At Cedar Bluff | Pediatrics | 9333 Park West Blvd Ste 104, Knoxville, TN 37923-4305 | 2008-03-13 |
| 1235294943 | Stanley S. Park | Pediatrics | 5300 Clinton Plaza Drive, Knoxville, TN 37912-3830 | 2006-12-22 |
| 1497845499 | Barbara Summers | Pediatrics | 2201 W Clinch Ave, Knoxville, TN 37916-2203 | 2006-10-13 |
| 1689764656 | Deborah Jones Christiansen | Pediatrics | 120 Suburban Rd Ste 203, Knoxville, TN 37923-5592 | 2006-10-13 |
| 1699860692 | David Sean Teaster | Pediatrics | 4741 Broadway, Knoxville, TN 37918 | 2006-10-04 |
| 1215037106 | Deborah Zimo | Pediatrics | 611 22nd St, Knoxville, TN 37916-2211 | 2006-09-22 |
| Find all providers in KNOXVILLE | ||||
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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.