Nancy L Shupe Mathew (NPI# 1033146881, PAC ID# 8921140732) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1033146881 |
| PAC ID by PECOS | 8921140732 |
| Professional Enrollment ID | I20100116000005 |
| Full Name | Nancy L Shupe Mathew |
| Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
| Address |
13260 Service Rd Walton KY 41094-9565 |
| Phone Number | 8594854116 |
| Gender | F |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2163326240 |
| Number of Group Practice Members | 511 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180035 | ST ELIZABETH EDGEWOOD |
| 180045 | ST ELIZABETH FLORENCE |
| 181311 | ST ELIZABETH GRANT |
| Address | Phone | Organization |
|---|---|---|
| 13260 Service Rd, Walton, KY 41094-9565 | 8594854116 | SUMMIT MEDICAL GROUP, INC. |
| Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
| Physicians | 487 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline Elmer-lyon | Urology | Summit Medical Group, Inc. | 610 Medical Village Dr, Edgewood, KY 41017-3416 |
| James Schack | Family Medicine | Summit Medical Group, Inc. | 79 Country Club Dr, Butler, KY 41006-8704 |
| Balaji Kalyanaraman | Urology | Summit Medical Group, Inc. | 7370 Turfway Rd, Florence, KY 41042-4895 |
| Abraham Llapitan Tacang | Rheumatology | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
| Rani L. Clark | Nurse Practitioner | Summit Medical Group, Inc. | 2885 Alexandria Way, Highland Heights, KY 41076-1511 |
| Gabriel Ymalay | Internal Medicine | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Ashley Nicole Minton | Family Medicine | Summit Medical Group, Inc. | 300 Commerical Circle, Alexandria, KY 41001-0001 |
| Saadeddine Dughman | Cardiovascular Disease (cardiology) | Summit Medical Group, Inc. | 900 Medical Village Dr, Edgewood, KY 41017-3422 |
| James Michael Morrow | Podiatry | Summit Medical Group, Inc. | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3243 |
| Brandon A Cowan | Hospitalist | Summit Medical Group, Inc. | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Street Address |
13260 SERVICE RD |
| City | WALTON |
| State | KY |
| Zip | 41094-9565 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason A Gregg | Nurse Practitioner | Summit Medical Group, Inc. | 13260 Service Rd, Walton, KY 41094-9565 |
| Joseph E Martin | Family Medicine | Summit Medical Group, Inc. | 13260 Service Rd, Walton, KY 41094-9565 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly M Hudson | Optometry | Hudson Eye Center, LLC | 27 N Main St, Walton, KY 41094-1110 |
| Melissa A Edwards | Chiropractic | 93 N Main St, Walton, KY 41094-1130 | |
| Erik M Simms | Chiropractic | 11053 Clay Dr, Walton, KY 41094-7472 |
| City | WALTON |
| Zip Code | 41094 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WALTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nancy L Shupe Mathew.
| 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.