Rae Elizagaray (NPI# 1053847707, PAC ID# 4284901182) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1053847707 |
| PAC ID by PECOS | 4284901182 |
| Professional Enrollment ID | I20170524002830 |
| Full Name | Rae Elizagaray |
| Organization Legal Name | SUMMIT MEDICAL GROUP INC |
| Address |
2300 Chamber Ctr Dr Suite 100 Fort Mitchell KY 41017-1673 |
| Phone Number | 8593413114 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 2163326240 |
| Number of Group Practice Members | 471 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1500 James Simpson Jr Way, Covington, KY 41011-0801 | 8596559500 | SUMMIT MEDICAL GROUP INC |
| 2300 Chamber Ctr Dr, Suite 100, Fort Mitchell, KY 41017-1673 | 8593413114 | SUMMIT MEDICAL GROUP INC |
| Organization Legal Name | SUMMIT MEDICAL GROUP INC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy J Metzger | Family Practice | Summit Medical Group Inc | 1980 Litton Lane, Hebron, KY 41048-8669 |
| Amy Riegler | Nurse Practitioner | Summit Medical Group Inc | 350 Thomas More Pkwy, Suite 280, Crestview Hills, KY 41017-5460 |
| Marla S Johnson | Nurse Practitioner | Summit Medical Group Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Ivy L Sheehan | Registered Dietitian Or Nutrition Professional | Summit Medical Group Inc | 2300 Chamber Ctr Dr, Suite 200, Lakeside Park, KY 41017-1673 |
| Annette Reynolds | Psychiatry | Summit Medical Group Inc | 2300 Chamber Ctr Dr, Suite 100, Fort Mitchell, KY 41017-1673 |
| Bradley G Mullen | Pain Management | Summit Medical Group Inc | 2300 Chamber Ctr Dr, Suite 100, Fort Mitchell, KY 41017-1673 |
| Martin J Clements | Family Practice | Summit Medical Group Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Susan M Yelich | General Surgery | Summit Medical Group Inc | 2300 Chamber Ctr Dr, Suite 100, Fort Mitchell, KY 41017-1673 |
| Andrew E-kong Chang | Obstetrics/gynecology | Summit Medical Group Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Steve Brook | Family Practice | Summit Medical Group Inc | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Street Address |
2300 CHAMBER CTR DR SUITE 100 |
| City | FORT MITCHELL |
| State | KY |
| Zip | 41017-1673 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert N Tracy | Family Medicine | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Alisa-ann H Christensen | Family Medicine | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Eugene J Burchell | Obstetrics/gynecology | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Eric Robert Wood | Physician Assistant | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Matthew Enzweiler | Podiatry | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Debra F Schulte | Family Medicine | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Deanna L Winter | Nurse Practitioner | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Mandee L Riddell | Qualified Audiologist | Head and Neck Surgery Associates, Psc | 2300 Chamber Ctr Dr, Suite 102, Lakeside Park, KY 41017-1686 |
| Shelby J Thornton | Nurse Practitioner | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Niva Khan | Internal Medicine | Summit Medical Group, Inc. | 2300 Chamber Ctr Dr, Suite 100, Lakeside Park, KY 41017-1686 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latasha M Swafford | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Erina T Emerson | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Dawna M Kennedy | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Kelly Reitzes | Optometry | Wing Eyecare, Inc. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Paul T Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Jamie Daniels Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Gena Grigson | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Geraldine E Elliott | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Merle C Helgeson | Chiropractic | 570 Buttermilk Pike, Crescent Springs, KY 41017-1635 | |
| Monica K Sullivan | Family Medicine | Christ Hospital Medical Associates, II LLC | 2156 Chamber Ctr Dr, Lakeside Park, KY 41017-1669 |
| Find all physicians in zip 41017 | |||
| City | FORT MITCHELL |
| Zip Code | 41017 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | FORT MITCHELL + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Rae Elizagaray.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.