SUMMIT MEDICAL GROUP INC NPI 1548677636

NPI Information

NPI: 1548677636
Provider Name: SUMMIT MEDICAL GROUP, INC

Doing Business As: ST. ELIZABETH PHYSICIANS

Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
525 ALEXANDRIA PIKE
STE 230
SOUTHGATE, KY
ZIP 41071
Phone: (859) 441-4334
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SUMMIT MEDICAL GROUP, INC is a primary podiatric medicine podiatrist in Southgate, KY. SUMMIT MEDICAL GROUP, INC NPI is 1548677636. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Elizabeth Physicians.

The provider's business location address is:

525 ALEXANDRIA PIKE
STE 230
SOUTHGATE, KY
ZIP 41071-290
Phone: (859) 441-4334
Fax: (859) 441-1368

The provider's authorized official is Glenn Loomis .
The authorized official title is Ceo and has the following contact phone number (859) 344-3733.

The CLIA number assigned to this NPI record is 18D2276627 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2014 and was last updated on 7/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	213E00000X	Podiatrist		KENTUCKY	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	KENTUCKY	No
3	213EP1101X	Podiatrist	Primary Podiatric Medicine	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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