SUMMIT PRIMARY CARE (NPI# 1740225887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740225887 |
| Entity Type | Organization |
| Organization Name | SUMMIT PRIMARY CARE |
| Other Organization Name | ROBERT B GASTON JR MD |
| Practice Address |
3939 Central Pike Hermitage TN 37076-3410 |
| Practice Telephone | 6158832331 |
| Practice Fax Number | 6153911785 |
| Mailing Telephone | 6158832331 |
| Mailing Fax Number | 6153911785 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | WILLIAM DUGAN (ADMINISTRATOR) |
| Authorized Official Telephone | 6153911515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD10309 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4439370 | 01 | |
| TN | 3176920 | 05 |
| Other Name | Type Code |
|---|---|
| ROBERT B GASTON JR MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256818 | Summit Primary Care | Family Medicine | 75 Printers Pkwy Ste 200, Colorado Springs, CO 80910-3142 | 2020-05-18 |
| 1356962849 | Summit Primary Care | Family Medicine | 850 E Harvard Ave Ste 310, Denver, CO 80210-5073 | 2020-05-06 |
| 1316561558 | Summit Primary Care | Family Medicine | 1120 Minnequa Ave, Pueblo, CO 81004-3734 | 2020-06-03 |
| 1255419255 | Summit Primary Care | Family Medicine | 3939 Central Pike, Hermitage, TN 37076-3499 | 2006-11-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Summit Primary Care PLLC | 850 E Harvard, Suite 305, Denver, CO 80210 |
| Street Address |
3939 CENTRAL PIKE |
| City | HERMITAGE |
| State | TN |
| Zip Code | 37076-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710968037 | Richard Y Pak | Family Medicine | 3939 Central Pike, Hermitage, TN 37076 | 2005-11-14 |
| 1184011835 | Khaisha Verdelle Gist | Family Medicine | 3939 Central Pike, Hermitage, TN 37076-3499 | 2015-04-21 |
| 1538479688 | Demetria Edwards | Physician Assistant | 3939 Central Pike, Hermitage, TN 37076-3499 | 2010-10-07 |
| 1023340809 | Michael Warren | Physician Assistant | 3939 Central Pike, Hermitage, TN 37076-3499 | 2010-02-04 |
| 1225364748 | Amanda Sher Fallos | Physician Assistant | 3939 Central Pike, Hermitage, TN 37076-3499 | 2009-10-19 |
| 1386712339 | Kari Hammer | Physician Assistant | 3939 Central Pike, Hermitage, TN 37076-3410 | 2006-11-30 |
| 1255419255 | Summit Primary Care | Family Medicine | 3939 Central Pike, Hermitage, TN 37076-3499 | 2006-11-01 |
| 1295748408 | Kenneth Roy Henry | Physician Assistant | 3939 Central Pike, Hermitage, TN 37076-3499 | 2006-08-15 |
| 1508884875 | Matthew H Milligan | Family Medicine | 3939 Central Pike, Hermitage, TN 37076-3499 | 2006-07-17 |
| 1730161985 | Edward L King | Family Medicine | 3939 Central Pike, Hermitage, TN 37076 | 2005-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996583 | Cassandra Renea Brown | Dietitian, Registered | 5653 Frist Blvd Suite 530, Hermitage, TN 37076 | 2019-05-02 |
| 1164979753 | Chelsea Douglas | Nurse Practitioner | 5565 Frist Boulevard, Hermitage, TN 37076 | 2016-09-01 |
| 1417333568 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 3207 Earhart Road, Hermitage, TN 37076 | 2015-07-30 |
| 1578944187 | Middle Tennesse Homes | Intermediate Care Facility, Mentally Retarded | 3209 Earhart Road, Hermitage, TN 37076 | 2015-06-10 |
| 1063835585 | Rachel Jane Morris | Occupational Therapist | 1621 Robindale Dr, Hermitage, TN 37076 | 2014-02-04 |
| 1427488154 | Earhart 1 | Intermediate Care Facility, Mentally Retarded | 3156 Earhart Rd, Nashville, TN 37076 | 2013-11-15 |
| 1669802393 | Tulip Grove #2 | Intermediate Care Facility, Mentally Retarded | 877 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-15 |
| 1780014514 | Tulip Grove Road #1 | Intermediate Care Facility, Mentally Retarded | 869 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-14 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1942545686 | Helping Hands Support Center, Inc. | Home Health | 4060 Andrew Jackson Pkwy #907, Hermitage, TN 37076 | 2012-12-06 |
| Find all providers in zip 37076 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114420486 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 2151 Shenango Valley Fwy Ste 5, Hermitage, PA 16148-2586 | 2018-03-13 |
| 1427677426 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 5653 Frist Blvd Ste 434, Hermitage, TN 37076-2065 | 2020-04-10 |
| 1649769266 | Qpharma Inc | Non-Pharmacy Dispensing Site | 875 N Hermitage Rd Ste 4, Hermitage, PA 16148-3278 | 2018-05-09 |
| 1679879084 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 5653 Frist Blvd, Ste 434, Hermitage, TN 37076-2062 | 2011-02-02 |
| 1184946584 | Horizon Internal Medicine-upmc | Non-Pharmacy Dispensing Site | 2500 Highland Rd, 105, Hermitage, PA 16148-4601 | 2010-02-26 |
| 1730335134 | Upmc Community Medicine, Inc. | Non-Pharmacy Dispensing Site | 705 Brookshire Dr, Suite 2, Hermitage, PA 16148-4513 | 2008-08-18 |
| 1770608622 | Summit Eye Associates Optical LLC | Non-Pharmacy Dispensing Site | 5410 Old Hickory Blvd, Hermitage, TN 37076-2574 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181160 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 4220 Harding Pike Bldg Ste200, Nashville, TN 37205-2005 | 2020-07-09 |
| 1144849050 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 1750 Cedar Ln Ste 200, Tullahoma, TN 37388-4761 | 2020-04-10 |
| 1720607625 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 3443 Dickerson Pike Ste 760, Nashville, TN 37207-2527 | 2020-04-10 |
| 1710516901 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 504 22nd Ave E, Springfield, TN 37172-3754 | 2020-04-08 |
| 1700415981 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 2121 N Locust Ave Ste 2, Lawrenceburg, TN 38464-4454 | 2020-04-08 |
| 1922634575 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 2252 Lamar Ave, Memphis, TN 38114-6608 | 2020-03-16 |
| 1144855073 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 776 Weatherly Dr Ste A, Clarksville, TN 37043-8941 | 2020-03-11 |
| 1407481567 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 5073 Main St Ste 210, Spring Hill, TN 37174-2738 | 2020-03-10 |
| 1659906709 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 103 Physicians Way Ste 102, Lebanon, TN 37090-4132 | 2020-03-10 |
| 1346875309 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 353 New Shackle Island Rd Ste 204a, Hendersonville, TN 37075-2371 | 2020-03-10 |
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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.