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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
St. Elizabeth Physicians | Doing Business As Name - Organization |
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 |
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 |
Street Address |
1974 WALTON NICHOLSON PIKE |
City | INDEPENDENCE |
State | KY |
Zip Code | 41051-7906 |
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 |
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 |
Find all providers in zip 41051 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
City | INDEPENDENCE |
Zip Code | 41051 |
Please comment or provide details below to improve the information on SUMMIT MEDICAL GROUP.
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.