SUMMIT MEDICAL GROUP, INC (NPI# 1922574854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922574854 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL GROUP, INC |
| Practice Address |
351 Centre View Boulevard Crestview Hills KY 41017-3477 |
| Mailing Address |
P.o. Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8597570717 |
| Practice Fax Number | 8593312425 |
| Mailing Telephone | 8597570717 |
| Mailing Fax Number | 8593312425 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| Authorized Official Name | MARIA RANKIN (AVP -REVENUE CYCLE) |
| Authorized Official Telephone | 8593445525 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT MEDICAL GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Elizabeth Physician's Journey Recovery Center | 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 |
| 1639586688 | Summit Medical Group, Inc | Urology | 7370 Turfway Rd, 3rd Floor, Florence, KY 41042-4895 | 2014-07-22 |
| 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 |
351 CENTRE VIEW BOULEVARD |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip Code | 41017-3477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457399917 | Teresa Koeller | Family Medicine | 351 Centre View Boulevard, Crestview Hills, KY 41017-3477 | 2006-06-04 |
| 1407364243 | Sally Ann Plummer-bratton | Counselor | 351 Centre View Boulevard, Crestview Hills, KY 41017 | 2018-01-15 |
| 1871982926 | Miran H. Mcclendon | Counselor | 351 Centre View Boulevard, Crestview Hills, KY 41017-3477 | 2015-01-13 |
| 1013350867 | Charles Nicholas Brown | Counselor | 351 Centre View Boulevard, Crestview Hills, KY 41017-3477 | 2013-04-11 |
| 1457597189 | Christy Lynn Gillespie | Social Worker | 351 Centre View Boulevard, Crestview Hills, KY 41017-3477 | 2008-12-31 |
| 1730342635 | Christina Shuman Wise | Psychiatry & Neurology | 351 Centre View Boulevard, Crestview Hills, KY 41017-3477 | 2008-07-10 |
| 1184883951 | Jeffrey Craven | Counselor | 351 Centre View Boulevard, Crestview Hills, KY 41017-3477 | 2008-06-05 |
| 1912102807 | Stacie Ann Selfe | Marriage & Family Therapist | 351 Centre View Boulevard, Crestview Hills, KY 41017-3477 | 2007-06-19 |
| 1508808361 | Mina C Kalfas | Family Medicine | 351 Centre View Boulevard, Crestview Hills, KY 41017-3477 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578064945 | E L Meier, Inc. | Clinic/Center | 226 Thomas More Pkwy, Crestview Hills, KY 41017-3424 | 2018-02-21 |
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|---|---|---|---|---|
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| 1265048748 | Therapy Pros, Inc. | Clinic/Center | 928 Idlewild Ct, Lexington, KY 40505-3634 | 2020-09-19 |
| 1538791165 | Bhg Lviii, LLC | Clinic/Center | 1000 Ace Drive, Berea, KY 40403-1327 | 2020-02-11 |
| 1538791140 | Bhg Lviii, LLC | Clinic/Center | 2705 Olivet Church Road, Paducah, KY 42001-9755 | 2020-02-11 |
| 1356987929 | Faraday Kentucky, LLC | Clinic/Center | 10000 Shelbyville Rd Ste 101, Louisville, KY 40223-2973 | 2019-11-19 |
| 1568004976 | Good Shepherd Institute of The Bluegrass | Clinic/Center | 307 W Dixie Ave, Elizabethtown, KY 42701-1701 | 2019-10-17 |
| 1831746767 | Journey Through Counseling LLC | Clinic/Center | 2614 Utah Dr, Bowling Green, KY 42104-4263 | 2019-08-26 |
| 1578020210 | The Family Healing Center, Inc | Clinic/Center | 241 East Main Street, Morehead, KY 40351 | 2019-03-01 |
| 1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
| Find all providers with the same taxonomy | ||||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
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.