SUMMIT MEDICAL GROUP


Address: 1974 Walton Nicholson Pike, Independence, KY 41051-7906
Phone: 8593566800

SUMMIT MEDICAL GROUP (NPI# 1780959833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780959833
Entity Type Organization
Organization Name SUMMIT MEDICAL GROUP
Other Organization Name ST. ELIZABETH PHYSICIANS
Practice Address 1974 Walton Nicholson Pike
Independence
KY 41051-7906
Mailing Address 2300 Chamber Center Dr
Su. 200
Lakeside Park
KY 41017-1673
Practice Telephone 8593566800
Practice Fax Number 8593634073
Mailing Telephone 8593445555
Mailing Fax Number 8593445552
Enumeration Date 2012-03-21
Last Update Date 2012-03-21
Authorized Official Name GLENN LOOMIS (PRESIDENT, CEO)
Authorized Official Telephone 8593443733
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
St. Elizabeth Physicians Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1235275207 Summit Medical Group Clinic/Center 100 Highland Ave Ste 307, Providence, RI 02906-2753 2007-01-29
1457749376 Summit Medical Group Clinic/Center 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 2014-12-30
1831595024 Summit Medical Group Internal Medicine 27702 Crown Valley Pkwy, Suite D4-113, Ladera Ranch, CA 92694-0608 2014-11-14
1972918977 Summit Medical Group Clinic/Center 38660 Medical Center Dr, Space A130, Palmdale, CA 93551-4385 2014-06-27
1164788261 Summit Medical Group Nurse Practitioner 340 Thomas More Pkwy, Su. 160a, Crestview Hills, KY 41017-5100 2012-04-03
1548536568 Summit Medical Group Family Medicine 300 Commercial Dr, Alexandria, KY 41001-2107 2012-03-23
1346515491 Summit Medical Group Orthopaedic Surgery 204 Bridgeway St, Aurora, IN 47001-1334 2012-03-21
1679851729 Summit Medical Group Counselor 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 2011-07-22
1871804344 Summit Medical Group Durable Medical Equipment & Medical Supplies 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 2010-06-29
1942532825 Summit Medical Group Clinic/Center 340 Thomas More Pkwy, Suite 160 B, Crestview Hills, KY 41017-5100 2010-02-03

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SUMMIT MEDICAL GROUP ARIZONA LLC 5620 W Thunderbird Rd Ste F1, Glendale, AZ 85306-4652
Oregon Corporations, Companies and Business Names SUMMIT MEDICAL GROUP OREGON 1501 Ne Medical Center Dr, Bend, OR 97701
Oregon Corporations, Companies and Business Names SUMMIT MEDICAL GROUP OREGON - BEND MEMORIAL CLINIC 1501 Ne Medical Center Dr, Bend, OR 97701
Oregon Corporations, Companies and Business Names SUMMIT MEDICAL GROUP OREGON - BEND UROLOGY 1501 Ne Medical Center Dr, Bend, OR 97701
Oregon Corporations, Companies and Business Names SUMMIT MEDICAL GROUP OREGON - BEND UROLOGY ASSOCIATES 1501 Ne Medical Center Dr, Bend, OR 97701
Oregon Corporations, Companies and Business Names SUMMIT MEDICAL GROUP OREGON - BMC 1501 Ne Medical Center Dr, Bend, OR 97701
Oregon Corporations, Companies and Business Names SUMMIT MEDICAL GROUP OREGON - BMC TOTAL CARE 1501 Ne Medical Center Dr, Bend, OR 97701
Oregon Corporations, Companies and Business Names SUMMIT MEDICAL GROUP OREGON - BUA 1501 Ne Medical Center Dr, Bend, OR 97701
Indiana Business Entities SUMMIT MEDICAL GROUP, INC. 334 Thomas More Pkwy, Ste 160, Edgewood, KY 41017

Office Location

Street Address 1974 WALTON NICHOLSON PIKE
City INDEPENDENCE
State KY
Zip Code 41051-7906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821059791 Craig David Sanders Family Medicine 1974 Walton Nicholson Pike, Independence, KY 41051-7906 2006-03-30
1235738105 Demetrius Thompson II Counselor 1974 Walton Nicholson Pike, Independence, KY 41051-7906 2020-10-22
1194322578 Shawnee Williams Counselor 1974 Walton Nicholson Pike, Independence, KY 41051-7906 2020-10-08
1275145476 Lisa Marie Strode Counselor 1974 Walton Nicholson Pike, Independence, KY 41051-7906 2020-08-19
1073124202 Lezlee Delaney Licensed Practical Nurse 1974 Walton Nicholson Pike, Independence, KY 41051-7906 2020-08-12
1972138261 Brookley Belle Lowe Counselor 1974 Walton Nicholson Pike, Independence, KY 41051-7906 2020-03-06
1609416676 Shantel Latoria Carswell Licensed Practical Nurse 1974 Walton Nicholson Pike, Independence, KY 41051-7906 2020-01-08
1891332243 Angela Danielle Branham Licensed Practical Nurse 1974 Walton Nicholson Pike, Independence, KY 41051-7906 2019-12-04
1083265466 Diane Marie Lottman Counselor 1974 Walton Nicholson Pike, Independence, KY 41051-7906 2019-09-26
1821657164 Katelyn Gurren Licensed Practical Nurse 1974 Walton Nicholson Pike, Independence, KY 41051-7906 2019-06-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235738741 Tina Hacker Counselor Crossroads Treatment Centers, 1974 Walton Nicholson Rd, Independence, KY 41051 2020-10-26
1942844972 Shelby Cuellar Chiropractor 2051 Centennial Boulevard, Independence, KY 41051 2019-11-02
1811246242 Independence Chiropractic, Inc. Chiropractor 1922 Walton Nichoolson Road, Independence, KY 41051 2012-08-30
1356627269 Nina Carmen Brock Home Health 593 Berlander Dr, Independence, KY 41051 2011-10-25
1508000951 Independence Urgent Care LLC Clinic/Center 2025 Declaration Drive, Independence, KY 41051 2009-04-29
1710009436 Ashley Joseph Moser Dentist 2047 Centennial Blvd, Independence, KY 41051 2007-04-04
1558497388 Occupational Health Centers of The Southwest, P.a., P.s.c. Clinic/Center 10110 Toebben Drive, Enterprise V Park, Independence, KY 41051 2007-02-26
1982758736 Janice Ann Struckhoff Dentist 1986 Walton Nicholson Pike, Independence, KY 41051 2007-01-22
1265509061 Regency Manor LLC Assisted Living Facility 11725 Madison Pike, Independence, KY 41051 2006-11-29
1588629463 John Franklin Allnutt Family Medicine 5290 Madison Pike, Ste 100, Independence, KY 41051 2006-04-20
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184269532 Simon Kinuthia Family Medicine 4911 S Arrowhead Dr Ste 200, Independence, MO 64055-7008 2019-11-08
1427526458 Physicians Wellness Group LLC Family Medicine 19045 E Valley View Parkway, Suite G, Independence, MO 64055 2018-11-07
1831447317 Ann Finkenbinder Goerz Family Medicine 4336 S Dover Ave, Independence, MO 64055-4834 2012-08-15
1871896035 Donald A. Potts Family Medicine 17611 E Us Highway 24, Suite 103, Independence, MO 64056-1853 2010-12-09
1508018128 Allison Louise Medlin Family Medicine 300 N Osage St, Suite 200, Independence, MO 64050-2705 2008-10-14
1184898439 Colleen Elizabeth Clayton Family Medicine 6701 Rockside Rd Ste 260, Independence, OH 44131-2351 2008-04-17
1467624403 Premier Health Clinic Family Medicine 6900 Granger Rd, #203, Independence, OH 44131-1414 2008-03-31
1760650352 Independence Family Practice Clinic, LLC Family Medicine 6571 Brecksville Road, Suite #1, Independence, OH 44131 2008-02-15
1164639779 Robert M Osborn Do Pa Family Medicine 400 N. 14th St., Independence, KS 67301 2007-05-16
1992871883 Stephen Ervin Dorsch Family Medicine 1638 W 24 Hwy, Independence, MO 64050 2006-11-24
Find all providers in INDEPENDENCE

Competitor

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City INDEPENDENCE
Zip Code 41051

Improve Information

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Dataset Information

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.

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